Paul Edwin Berner, M.D.
Individual provider Active NPI Ophthalmology Physician · Fort Harrison, MT
NPI 1447367651 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1447367651
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ophthalmology Physician 207W00000X
- License
- 8584 (MT)
- Practice address
- 1952 Williams Street
Fort Harrison VA Medical Center
Fort Harrison, MT 59636 - Phone
- (406) 442-6410
- NPI assigned
- Aug 24, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150415001240 | MT | Order and Referring Only - Ophthalmology |
8628257730 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 8584 | MT | Yes |
Addresses
Primary practice location
1952 Williams Street
Fort Harrison VA Medical Center
Fort Harrison, MT 59636
Mailing address
731 Stuart St
Helena, MT 59601-2658
Phone (406) 457-9358
NPI Registry JSON
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1447367651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "731 STUART ST",
"city": "HELENA",
"state": "MT",
"postal_code": "596012658",
"telephone_number": "406-457-9358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1952 WILLIAMS STREET",
"address_2": "FORT HARRISON VA MEDICAL CENTER",
"city": "FORT HARRISON",
"state": "MT",
"postal_code": "59636",
"telephone_number": "406-442-6410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNER",
"first_name": "PAUL",
"middle_name": "EDWIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MT",
"license": "8584",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Harrison, MT
- Rosanna Bailey
- Carolyn Barker
- Mary Kathleen Bartsch
- Nikki Batty
- Kenneth Peter Bennett
- Kyle Christopher Blackburn
- Veronica Blanton
- Mary G Blevins
- Kaylah Marie Boles
- Kevin John Bonney
All providers in Fort Harrison, MT · Ophthalmology Physician in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.