Active NPI
Charles A. Berns, REGISTERED NURSE
- Registered Nurse
- Perrysburg, NY
National Provider Identifier
1467597997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 3028581
- Practice address
- 10714 North Rd
Perrysburg, NY 14129-9746 - Phone
- (716) 532-1049
- Fax
- (716) 532-0679
- NPI assigned
- Feb 21, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 3028581 | NY | Primary |
Addresses
Primary practice location
10714 North Rd
Perrysburg, NY 14129-9746
Mailing address
10544 Erie Road
PO Box 102
Farnham, NY 14061
Phone (716) 549-2254
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3028581 | NY | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of New York Comptrollers Office | Past | Accepting new patients | |
| State of New York Comptrollers Office | Past | Accepting new patients |
Organizations & group practices 2
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.
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-
- Developmental Disabilities Clinic/Center
- Perrysburg, NY
- NPI 1790825586
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467597997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10544 ERIE ROAD",
"address_2": "PO BOX 102",
"city": "FARNHAM",
"state": "NY",
"postal_code": "14061",
"telephone_number": "716-549-2254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10714 NORTH RD",
"city": "PERRYSBURG",
"state": "NY",
"postal_code": "141299746",
"telephone_number": "716-532-1049",
"fax_number": "716-532-0679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNS",
"first_name": "CHARLES",
"middle_name": "A.",
"name_prefix": "Mr.",
"credential": "REGISTERED NURSE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "3028581",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Perrysburg, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.