Active NPI
Joshua S Berner, PAC
- Physician Assistant
- Cincinnati, OH
National Provider Identifier
1245513985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 50 003337
- Practice address
- 234 Goodman St
Cincinnati, OH 45219-2364 - Phone
- (513) 584-4544
- Fax
- (513) 584-0431
- NPI assigned
- Sep 20, 2011
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 50 003337 | OH | Primary |
Addresses
Primary practice location
234 Goodman St
Cincinnati, OH 45219-2364
Mailing address
PO Box 636256 Central Credentialing
Cincinnati, OH 45263-6256
Phone (513) 245-3107
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50 003337 | OH | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sidney Emergency Physicians, Inc. | Current | Accepting new patients | |
| West Central Emergency Physicians | Current | Accepting new patients |
Locations
915 Michigan St
Sidney, OH 45365
Phone (937) 498-2311
3130 N Dixie Hwy
Troy, OH 45373
Phone (937) 440-4000
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.
-
- Emergency Medicine Physician
- Sidney, OH
- NPI 1467690149
-
- Emergency Medicine Physician
- Troy, OH
- NPI 1578558417
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518048000000",
"number": "1245513985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 636256 CENTRAL CREDENTIALING",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452636256",
"telephone_number": "513-245-3107",
"fax_number": "513-585-5511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "234 GOODMAN ST",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452192364",
"telephone_number": "513-584-4544",
"fax_number": "513-584-0431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNER",
"first_name": "JOSHUA",
"middle_name": "S",
"name_prefix": "Mr.",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-20",
"last_updated": "2018-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50 003337",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.