Individual provider Active NPI

Anna Bistline Berning, MD

  • Dermatology Physician
  • Altoona, PA
National Provider Identifier
1134748478
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD484330 Issued in PA
Practice address
1101 Logan Blvd
Altoona, PA 16602-4029
Phone
(814) 943-9879
Fax
(814) 943-1808
NPI assigned
Apr 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Dermatology Physician 207N00000X MD484330 PA Primary

Addresses

Primary practice location

1101 Logan Blvd
Altoona, PA 16602-4029

Mailing address

3518 Fort Roberdeau Ave Ste 140
Altoona, PA 16602-3222
Phone (814) 931-9978

Other practice location 1

501 Howard Avenue
Suite F2
Altoona, PA 16601
Phone (814) 889-2020

Other names 1

  • Anna K Bistline Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240709000453 PA Practitioner - Dermatology 0042636458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Jefferson Medical College of Thomas Jefferson University, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Altoona Dermatology Associates IncGroup PAC ID 7113461864, 3 clinicians

Practice addresses (Care Compare)

1101 Logan Blvd
Altoona, PA 16602-4029
Phone 81494398791

Hospital & facility affiliations

  • Upmc Altoona Hospital, Altoona, PA, CCN 390073

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision40
Removal of skin lesions166
Skin biopsy111

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Altoona Dermatology Associates Inc Dermatology CurrentSince Aug 1, 2024 Accepting new patients
Altoona Dermatology Associates LLC Dermatology Current Accepting new patients

Locations

1101 Logan Blvd
Altoona, PA 16602
Phone (814) 943-9879

Organizations & group practices 2

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1586908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1134748478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3518 FORT ROBERDEAU AVE STE 140",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166023222",
            "telephone_number": "814-931-9978",
            "fax_number": "814-943-1808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 LOGAN BLVD",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166024029",
            "telephone_number": "814-943-9879",
            "fax_number": "814-943-1808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 Howard Avenue",
            "address_2": "Suite F2",
            "address_purpose": "LOCATION",
            "city": "Altoona",
            "state": "PA",
            "postal_code": "16601",
            "country_code": "US",
            "telephone_number": "814-889-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERNING",
        "first_name": "ANNA",
        "middle_name": "BISTLINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-15",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD484330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "BISTLINE",
            "middle_name": "K",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Altoona, PA

Sources for this page

Verify at the official NPI Registry.