Individual provider Active NPI

David A Berning, PT

  • Physical Therapist
  • Bloomington, IN
National Provider Identifier
1245756600
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05010445A Issued in IN
Practice address
1375 N Wellness Way
Bloomington, IN 47404-9786
Phone
(812) 333-2663
Fax
(812) 676-4110
NPI assigned
Aug 17, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 05010445A IN Primary

Addresses

Primary practice location

1375 N Wellness Way
Bloomington, IN 47404-9786

Mailing address

1375 N Wellness Way
Bloomington, IN 47404-9786
Phone (812) 333-2663

Other practice location 1

2605 E Creeks Edge Dr
Bloomington, IN 47401-8368
Phone (812) 353-3343

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230427000368 OH Practitioner - Physical Therapist in Private Practice 2961766670 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1245756600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 N WELLNESS WAY",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474049786",
            "telephone_number": "812-333-2663",
            "fax_number": "812-676-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 N WELLNESS WAY",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474049786",
            "telephone_number": "812-333-2663",
            "fax_number": "812-676-4110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2605 E Creeks Edge Dr",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474018368",
            "country_code": "US",
            "telephone_number": "812-353-3343",
            "fax_number": "812-353-3346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERNING",
        "first_name": "DAVID",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05010445A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.