Individual provider Active NPI

Ian Benjamin Berger, MD

  • Urology Physician
  • Columbia, TN
National Provider Identifier
1184185274
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
1184185274 Issued in TN
Practice address
1222 Trotwood Ave Ste 601
Columbia, TN 38401-6410
Phone
(931) 840-8547
NPI assigned
Mar 29, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X 1184185274 TN Primary

Addresses

Primary practice location

1222 Trotwood Ave Ste 601
Columbia, TN 38401-6410

Mailing address

1222 Trotwood Ave Ste 601
Columbia, TN 38401-6410
Phone (931) 840-8547

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20250710003497 TN Practitioner - Urology 7416461397 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maury Regional Medical Group, IncGroup PAC ID 7911810742, 119 clinicians

Practice addresses (Care Compare)

1222 Trotwood Ave
Suite 601
Columbia, TN 38401-6410
Phone (931) 548-0053

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1184185274TNMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maury Regional Hospital Marshall Medical Center CurrentSince Aug 1, 2025 Accepting new patients
Maury Regional Medical Group, Inc Multi-Specialty CurrentSince Aug 1, 2025 Accepting new patients
Family Health Group Inc Multi-Specialty Past Accepting new patients

Locations

1222 Trotwood Ave
Ste 601
Columbia, TN 38401
Phone (931) 381-2062

854 W James M Campbell Blvd
Ste 303
Columbia, TN 38401
Phone (931) 388-8779

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1553817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1184185274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 TROTWOOD AVE STE 601",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384016410",
            "telephone_number": "931-840-8547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 TROTWOOD AVE STE 601",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384016410",
            "telephone_number": "931-840-8547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGER",
        "first_name": "IAN",
        "middle_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-29",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": "TN",
            "license": "1184185274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, TN

Sources for this page

Verify at the official NPI Registry.