Gerald Berrett, PA C

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

PA213975 Issued in OR

Practice address

750 Murphy Rd
Medford, OR 97504-8426

Phone

(541) 930-3939

NPI assigned

Feb 27, 2007

Last updated

Aug 1, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Joseph R. Watkins MD PC

  • Neurology Physician
  • Provo, UT
  • NPI 1174620389
  NPD
• Southern Oregon Pediatrics, LLP

  • Pediatric Hospice and Palliative Medicine Physician
  • Medford, OR
  • NPI 1194932814
  NPD (past)
• Granger Medical Clinic PC

  • Multi-Specialty Clinic/Center
  • West Valley City, UT
  • NPI 1184657041

  Family Medicine

  NPD (past)
• Granger Medical Clinic PC

  • Medical Specialty Clinic/Center
  • Sandy, UT
  • NPI 1871320028
  NPD (past)
• Western Wyoming Neurology PC

  • Neurology Physician
  • Rock Springs, WY
  • NPI 1407942501
  NPD (past)

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1245367630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10744 N 5250 W",
            "city": "HIGHLAND",
            "state": "UT",
            "postal_code": "840038886",
            "telephone_number": "801-592-6881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 MURPHY RD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048426",
            "telephone_number": "541-930-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRETT",
        "first_name": "GERALD",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WY",
            "license": "305",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "PA213975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Berking
• John Boakye Tawiah Berkomah, RPH
• John D Berlingeri, PA
• Jomayra Bermudez Otero
• Leah S Bernard, MD
• Beatrice Berry, R.N.
• Lyndsay Mashelle Berry
• Norman Berry
• Olivia Berryessa, LMT
• Kevin Dominic Bertucci, PT

• Family Medicine Physician in Medford, OR
• Providers in Medford, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.