Berks Family Practice

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

MD040616L Issued in PA

Legal business name

BERKS FAMILY PRACTICE

Practice address

225 N Kenhorst Blvd
Reading, PA 19607-1535

Phone

(610) 775-3316

NPI assigned

Feb 7, 2007

Organization subpart

Yes

Parent organization

MEDVANTX, INCAs reported in NPPES

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

Authorized official

Name

Mr. Kenny Heine

Title

Director of Operations

Phone

(858) 625-2990

Specialties & licenses 1

Addresses

Part of

Tri - State Medical Group Inc

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350864000000",
    "number": "1114067451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5626 OBERLIN DR",
            "address_2": "SUITE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211705",
            "telephone_number": "858-625-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 N KENHORST BLVD",
            "city": "READING",
            "state": "PA",
            "postal_code": "196071535",
            "telephone_number": "610-775-3316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKS FAMILY PRACTICE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDVANTX, INC",
        "enumeration_date": "2007-02-07",
        "last_updated": "2012-10-22",
        "status": "A",
        "authorized_official_last_name": "HEINE",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "858-625-2990",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "PA",
            "license": "MD040616L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Berks Dental Medicine Assoc PC
• Berks Discount Pharmacy
• Berks Emergency Physicians, LLC
• Berks Encore
• Berks Family Health LLC
• Berks Foot Specialists, PC
• Berks General Medical Group, PC
• Berks Genesis Family Medicine PC
• Berks Medical Specialists, P.C.
• Berks Neuropsychology, LLC

• Non-Pharmacy Dispensing Site in Reading, PA
• Providers in Reading, PA by specialty
• Non-Pharmacy Dispensing Site in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.