Individual provider Active NPI

Stephen M. Berns, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Bismarck, ND
National Provider Identifier
1437367927
Registry record updated May 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
036117656 Issued in IL
Practice address
222 N 7TH St
Bismarck, ND 58501-4436
Phone
(701) 323-5422
Fax
(701) 323-8645
NPI assigned
May 18, 2007
Last updated
May 22, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Blood Banking & Transfusion Medicine Physician 207ZB0001X 4301086858 MI
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 036117656 IL Primary
Clinical Pathology/Laboratory Medicine Physician 207ZP0105X 15980 ND

Addresses

Primary practice location

222 N 7TH St
Bismarck, ND 58501-4436

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074
Phone (701) 323-5422

Other practice location 1

100 E Le Fevre Rd
Sterling, IL 61081-1278
Phone (815) 625-0400 ext. 4432

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, ND2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070713000740 IL Practitioner - Pathology 6709986185 Reassigns benefits to 2 organizations
I20191206002416 ND Practitioner - Pathology 6709986185 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301086858MIMDBlood Banking & Transfusion Medicine Physician
15980NDMDClinical Pathology/Laboratory Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rockford Health Physicians CurrentSince Apr 18, 2019 Accepting new patients
Shahid Ilahi MD SC CurrentSince May 13, 2019 Accepting new patients
Sanford Bismarck CurrentSince Sep 18, 2019 Accepting new patients
Sanford Bismarck CurrentSince Sep 18, 2019 Accepting new patients
CGH Medical Center Past Accepting new patients

Locations

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

22285 N Pepper Rd
Bldg 300
Lake Barrington, IL 60010

22285 N Pepper Rd
Ste 303
Lake Barrington, IL 60010
Phone (847) 842-0757

2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510

2400 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-6310

222 N 7th St
Bismarck, ND 58501
Phone (701) 323-5422

3318 N 14th St
Bismarck, ND 58503
Phone (701) 323-8300

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HIICCA

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590105600000",
    "number": "1437367927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074",
            "telephone_number": "701-323-5422",
            "fax_number": "701-323-8645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 N 7TH ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014436",
            "telephone_number": "701-323-5422",
            "fax_number": "701-323-8645"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 E Le Fevre Rd",
            "address_purpose": "LOCATION",
            "city": "Sterling",
            "state": "IL",
            "postal_code": "610811278",
            "country_code": "US",
            "telephone_number": "815-625-0400 x4432",
            "fax_number": "815-625-2747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERNS",
        "first_name": "STEPHEN",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZB0001X",
            "taxonomy_group": "",
            "desc": "Pathology, Blood Banking & Transfusion Medicine",
            "state": "MI",
            "license": "4301086858",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IL",
            "license": "036117656",
            "primary": true
        },
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "ND",
            "license": "15980",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

Verify at the official NPI Registry.