Individual provider Active NPI

Tania Lynn Berry, D.O.

  • Family Medicine Physician
  • Bronson, MI
National Provider Identifier
1306828579
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101013815 Issued in MI
Practice address
197 Division St
Bronson, MI 49028-1213
Phone
(517) 369-2506
Fax
(517) 369-2376
NPI assigned
Nov 15, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101013815 MI Primary

Addresses

Primary practice location

197 Division St
Bronson, MI 49028-1213

Mailing address

197 Division St
Bronson, MI 49028-1213
Phone (517) 369-2506

Other identifiers 3

IdentifierTypeStateIssuer
0151200195OtherBLUECROSS
4315160MedicaidMI
0131300OtherMIPHP/IBA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101206000270 MI Practitioner - Family Practice 3971790833 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

197 Division St
Bronson, MI 49028-1213
Phone (517) 369-2506

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue42
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101013815MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Center of Branch County Family Medicine Current Accepting new patients
Community Health Center of Branch County Current Accepting new patients
Regio T Penna MD, PC Current Accepting new patients
Community Health Center of Branch County Current Accepting new patients
Community Health Center of Branch County Family Medicine CurrentSince Jan 1, 2016 Accepting new patients
Community Health Center of Branch County CurrentSince Jan 1, 2016 Accepting new patients
Community Health Center of Branch County Family Medicine Past Accepting new patients

Locations

197 Division St
Bronson, MI 49028
Phone (517) 369-2506

721 E Chicago St
Bronson, MI 49028
Phone (517) 369-2506

274 E Chicago St
Coldwater, MI 49036
Phone (517) 279-5400

Interoperability endpoints

  • Direct secure messaging: tberry152524@direct.promedica.org

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1306828579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 DIVISION ST",
            "city": "BRONSON",
            "state": "MI",
            "postal_code": "490281213",
            "telephone_number": "517-369-2506",
            "fax_number": "517-369-2376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 DIVISION ST",
            "city": "BRONSON",
            "state": "MI",
            "postal_code": "490281213",
            "telephone_number": "517-369-2506",
            "fax_number": "517-369-2376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "TANIA",
        "middle_name": "LYNN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101013815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS",
            "identifier": "0151200195",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4315160",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP/IBA",
            "identifier": "0131300",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronson, MI

Sources for this page

Verify at the official NPI Registry.