Charles A. Berns, REGISTERED NURSE
Individual provider Active NPI Registered Nurse · Perrysburg, NY
NPI 1467597997 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1467597997
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 3028581 (NY)
- Practice address
- 10714 North Rd
Perrysburg, NY 14129-9746 - Phone
- (716) 532-1049
- Fax
- (716) 532-0679
- NPI assigned
- Feb 21, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3028581 | NY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 3028581 | NY | Yes |
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
Other providers in Perrysburg, NY
- Andrea Rose Bowman-Defino
- Kristina Marie Capozzi
- Lynette Lea Carr
- Amy Lynn Carroll
- Terri J Cartalano
All providers in Perrysburg, NY · Registered Nurse in New York
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.