Active NPI
David A Berning, PT
- Physical Therapist
- Bloomington, IN
National Provider Identifier
1245756600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05010445A
- 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
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 |
|---|---|---|---|---|
| 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
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.
-
- Physical Therapist
- Columbus, OH
- NPI 1457216277
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.