Individual provider Active NPI

Thea Berning, MD

  • Emergency Medicine Physician
  • Reno, NV
National Provider Identifier
1033178249
Registry record updated Apr 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
10572 Issued in NV
Practice address
1155 Mill St
Reno, NV 89502-1576
Phone
(775) 982-4100
NPI assigned
Mar 17, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20040128001140 NV Practitioner - Emergency Medicine 5395648299 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Brown, Calvanese, Cameron LTD Emergency Medicine CurrentSince Jan 1, 2005 Accepting new patients

Locations

832 Willow St
Reno, NV 89502
Phone (775) 324-4040

1155 Mill St
Reno, NV 89502
Phone (775) 982-7878

2375 E Prater Way
Sparks, NV 89434
Phone (775) 331-7000

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 10572 NV
Emergency Medicine Physician 207P00000X 10572 NV Primary

Addresses

NPPES NPI Registry

Primary practice location

1155 Mill St
Reno, NV 89502-1576

Mailing address

832 Willow St
Reno, NV 89502-1304
Phone (775) 324-4040

Other identifiers 5

NPPES NPI Registry
IdentifierTypeStateIssuer
100501177MedicaidNV
100501176MedicaidNV
P00081755OtherNVRAILROAD MEDICARE
220480OtherNVNEVADACARE
CC5960OtherNVBCBS

Other names 1

NPPES NPI Registry
  • Thea Lovett Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 21, 2010.

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271808000000",
    "number": "1033178249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 WILLOW ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021304",
            "telephone_number": "775-324-4040",
            "fax_number": "775-324-4042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 MILL ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021576",
            "telephone_number": "775-982-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNING",
        "first_name": "THEA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-17",
        "last_updated": "2010-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "NV",
            "license": "10572",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NV",
            "license": "10572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100501177",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100501176",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00081755",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEVADACARE",
            "identifier": "220480",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "CC5960",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THEA",
            "last_name": "LOVETT",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.