Individual provider Active NPI

Brian J Berry, PA

  • Physician Assistant
  • Hamilton, NY
National Provider Identifier
1083601132
Registry record updated Aug 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
002818 Issued in NY
Practice address
85 College St
Hamilton, NY 13346-1227
Phone
(315) 824-1250
NPI assigned
Oct 4, 2005
Last updated
Aug 10, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 002818 NY Primary

Addresses

Primary practice location

85 College St
Hamilton, NY 13346-1227

Mailing address

85 College St
Hamilton, NY 13346-1227
Phone (315) 824-1250

Other identifiers 1

IdentifierTypeStateIssuer
02494860MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040414001528 NY Practitioner - Physician Assistant 9537153119 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
College St OrthopedicsGroup PAC ID 6608895230, 12 clinicians

Practice addresses (Care Compare)

1 Oxford Rd
Suite 200
New Hartford, NY 13413-2651
Phone (315) 824-1250

85 College St
Hamilton, NY 13346-1227
Phone (315) 824-1250

Merit-based Incentive Payment System (MIPS)

Final score
93.4 of 100Reported as group
Quality
86.36
Promoting interoperability
99
Improvement activities
40
Cost
79.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Chenango Memorial Hospital Inc CurrentSince Mar 10, 2016 Accepting new patients
Chenango Memorial Hospital, Inc. Physician Assistant Past Accepting new patients

Locations

179 N Broad St
Norwich, NY 13815
Phone (607) 337-4111

4 Newton Ave
Norwich, NY 13815
Phone 60733741112167

Interoperability endpoints

  • Direct secure messaging: bberry@hamiltonorthopedic.medentdirect.com
  • Direct secure messaging: d3704@hiemail.healtheconnections.org

Organizations & group practices 4

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249862400000",
    "number": "1083601132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 COLLEGE ST",
            "city": "HAMILTON",
            "state": "NY",
            "postal_code": "133461227",
            "telephone_number": "315-824-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 COLLEGE ST",
            "city": "HAMILTON",
            "state": "NY",
            "postal_code": "133461227",
            "telephone_number": "315-824-1250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "BRIAN",
        "middle_name": "J",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2009-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "002818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02494860",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NY

Sources for this page

Verify at the official NPI Registry.