Active NPI
Richard A Berning, M.D.
- Pediatric Cardiology Physician
- Sandy Hook, CT
National Provider Identifier
1295718534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- License
- 034959
- Practice address
- 107 Church Hill Rd
Suite 1a
Sandy Hook, CT 06482-1108 - Phone
- (203) 426-0225
- Fax
- (203) 426-0249
- NPI assigned
- Nov 21, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Cardiology Physician | 2080P0202X | 034959 | CT | Primary |
Addresses
Primary practice location
107 Church Hill Rd
Suite 1a
Sandy Hook, CT 06482-1108
Mailing address
107 Church Hill Rd
Suite 1a
Sandy Hook, CT 06482-1108
Phone (203) 426-0225
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001349598 | Medicaid | CT |
Other names 1
- Richard A Berning
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
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Cardiology Associates, LLC | Pediatric Cardiology | Past | Accepting new patients |
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.
-
- Pediatric Cardiology Physician
- Hartford, CT
- NPI 1114970175
Pediatric Cardiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361836800000",
"number": "1295718534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 CHURCH HILL RD",
"address_2": "SUITE 1A",
"city": "SANDY HOOK",
"state": "CT",
"postal_code": "064821108",
"telephone_number": "203-426-0225",
"fax_number": "203-426-0249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 CHURCH HILL RD",
"address_2": "SUITE 1A",
"city": "SANDY HOOK",
"state": "CT",
"postal_code": "064821108",
"telephone_number": "203-426-0225",
"fax_number": "203-426-0249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNING",
"first_name": "RICHARD",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-21",
"last_updated": "2013-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "CT",
"license": "034959",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001349598",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RICHARD",
"last_name": "BERNING",
"middle_name": "A",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Sandy Hook, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.