Active NPI
Julius W Berta, MD
- Diagnostic Radiology Physician
- Warren, PA
National Provider Identifier
1154342004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD016378E
- Practice address
- 2-12 Crescent Park
Warren, PA 16365 - Phone
- (814) 723-3300
- NPI assigned
- Jul 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD016378E | PA | Primary |
Addresses
Primary practice location
2-12 Crescent Park
Warren, PA 16365
Mailing address
PO Box 456
213 Third Ave
Warren, PA 16365-0456
Phone (814) 723-1689
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0007226600001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD016378E | PA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Warren General Hospital | Past | Accepting new patients | |
| Warren Radiology Associates Inc | Past | Accepting new patients | |
| Regional Health Services Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Erie, PA
- NPI 1174520654
-
- Medicare Defined Swing Bed Hospital Unit
- Warren, PA
- NPI 1407199227
-
- Radiology Clinic/Center
- Warren, PA
- NPI 1528069556
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207094400000",
"number": "1154342004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 456",
"address_2": "213 THIRD AVE",
"city": "WARREN",
"state": "PA",
"postal_code": "163650456",
"telephone_number": "814-723-1689",
"fax_number": "814-723-9276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2-12 CRESCENT PARK",
"city": "WARREN",
"state": "PA",
"postal_code": "16365",
"telephone_number": "814-723-3300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERTA",
"first_name": "JULIUS",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-23",
"last_updated": "2008-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MD016378E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0007226600001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Warren, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.