Individual provider Active NPI

Gerard Thomas Berry, MD

  • Vascular & Interventional Radiology Physician
  • Yardley, PA
National Provider Identifier
1205098548
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
MD452348 Issued in PA
Practice address
777 Township Line Rd Ste 150
Yardley, PA 19067-5567
Phone
(215) 860-3360
Fax
(215) 860-3362
NPI assigned
Jun 27, 2008
Last updated
Sep 26, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 25MA11416000 NJ
Vascular & Interventional Radiology Physician 2085R0204X MD452348 PA Primary

Addresses

Primary practice location

777 Township Line Rd Ste 150
Yardley, PA 19067-5567

Mailing address

777 Township Line Rd Ste 150
Yardley, PA 19067-5567
Phone (215) 860-3360

Other practice location 1

1865 Route 70 East
Ste 130
Cherry Hill, NJ 08003-2013
Phone (856) 433-2535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140908001964 PA Practitioner - Diagnostic Radiology 8921227836 Reassigns benefits to 3 organizations
I20221214000891 NJ Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 8921227836 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
Jefferson Medical College of Thomas Jefferson University, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinical Health Care Associates of New Jersey PCGroup PAC ID 0749180198, shared by 7 NPIs, 793 clinicians
University of Penn-Medical GroupGroup PAC ID 6204730955, 3,433 clinicians

Practice addresses (Care Compare)

1006 Mantua Pike
Woodbury, NJ 08097-1221
Phone (856) 686-8282

1865 Route 70 E 130
Rad Cherry Hill
Cherry Hill, NJ 08003-2013
Phone (856) 433-2535

3400 Spruce St
Philadelphia, PA 19104-4238
Phone (215) 662-2428

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn-Medical Group Current Accepting new patients
Geisinger Clinic Current Accepting new patients
Clinical Health Care Associates of New Jersey, PC CurrentSince Sep 3, 2022 Accepting new patients
Clinical Health Care Associates of New Jersey, P.C. CurrentSince Sep 3, 2022 Accepting new patients
Mercy Diagnostic Imaging PC CurrentSince Sep 1, 2015 Accepting new patients
Clinical Health Care Associates of New Jersey, PC Current Accepting new patients
Geisinger Clinic CurrentSince Sep 1, 2014 Accepting new patients
University of Penn-Medical Group CurrentSince Jul 1, 2021 Accepting new patients
University of Penn-Medical Group CurrentSince Jul 1, 2021 Accepting new patients
University of Penn - Medical Group Past Accepting new patients

Locations

1865 Route 70 E
Ste 130
Cherry Hill, NJ 08003
Phone (856) 433-2535

3205 Fire Rd
Egg Hbr Twp, NJ 08234
Phone (609) 407-1113

1006 Mantua Pike
Woodbury Hts, NJ 08097
Phone (856) 845-6880

1001 Chesterbrook Blvd
Ste 100
Berwyn, PA 19312
Phone (610) 576-7500

100 N Academy Ave
Danville, PA 17822

1500 Lansdowne Ave
Darby, PA 19023
Phone (610) 237-4561

402 McFarlan Rd
Ste 201
Kennett Square, PA 19348
Phone (610) 444-2665

491 Allendale Rd
Ste 104
Kng of Prussa, PA 19406
Phone (215) 860-3360

11 Friends Ln
Ste 101
Newtown, PA 18940
Phone (215) 579-1300

250 W Lancaster Ave
Ste 180
Paoli, PA 19301
Phone (610) 644-0477

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

140 Nutt Rd
Phoenixville, PA 19460
Phone (610) 983-1000

145 King of Prussia Rd
Ste 111
Radnor, PA 19087
Phone (610) 902-1800

145 King of Prussia Rd
Ste 200
Radnor, PA 19087
Phone (610) 902-4580

420 W Linfield Trappe Rd
Bldg A
Royersford, PA 19468

701 E Marshall St
West Chester, PA 19380
Phone (610) 431-5000

455 Woodview Rd
West Grove, PA 19390
Phone (610) 345-1960

1000 E Mountain Blvd
Wilkes Barre, PA 18711
Phone (570) 808-7399

777 Township Line Rd
Ste 150
Yardley, PA 19067
Phone (215) 860-3360

Organizations & group practices 10

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": "1214524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1205098548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 TOWNSHIP LINE RD STE 150",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190675567",
            "telephone_number": "215-860-3360",
            "fax_number": "215-860-3362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 TOWNSHIP LINE RD STE 150",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190675567",
            "telephone_number": "215-860-3360",
            "fax_number": "215-860-3362"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1865 Route 70 East",
            "address_2": "STE 130",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080032013",
            "country_code": "US",
            "telephone_number": "856-433-2535",
            "fax_number": "856-528-5221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERRY",
        "first_name": "GERARD",
        "middle_name": "THOMAS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-27",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NJ",
            "license": "25MA11416000",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "PA",
            "license": "MD452348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yardley, PA

Sources for this page

Verify at the official NPI Registry.