Individual provider Active NPI

Christopher M Bero, PA-C

  • Physician Assistant
  • Scottsdale, AZ
National Provider Identifier
1477956563
Registry record updated Jan 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5861 Issued in AZ
Practice address
8575 E Princess Dr Ste 210
Scottsdale, AZ 85255-5441
Phone
(480) 808-3778
Fax
(480) 409-5204
NPI assigned
Oct 2, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 5861 AZ
Physician Assistant 363A00000X 5861 AZ Primary
Medical Physician Assistant 363AM0700X 5861 AZ

Addresses

Primary practice location

8575 E Princess Dr Ste 210
Scottsdale, AZ 85255-5441

Mailing address

11 Spur Cir
Scottsdale, AZ 85251-5460
Phone (480) 216-1616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141212001580 AZ Practitioner - Physician Assistant 4082936497 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ortho Elite Performance and Recovery PLLCGroup PAC ID 8527402817, 4 clinicians

Practice addresses (Care Compare)

8575 E Princess Dr
Suite 210
Scottsdale, AZ 85255-5441
Phone (480) 808-3778

Hospital & facility affiliations

  • Abrazo Scottsdale Campus Hospital, Phoenix, AZ, CCN 030083
  • Verde Valley Medical Center Hospital, Cottonwood, AZ, CCN 030007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5861AZMDSurgical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: christopher.bero.1@25563.direct.athenahealth.com
  • Direct secure messaging: christopher.bero.1@28175.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1412208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705708800000",
    "number": "1477956563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 SPUR CIR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852515460",
            "telephone_number": "480-216-1616",
            "fax_number": "480-372-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8575 E PRINCESS DR STE 210",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852555441",
            "telephone_number": "480-808-3778",
            "fax_number": "480-409-5204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERO",
        "first_name": "CHRISTOPHER",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-02",
        "last_updated": "2024-01-20",
        "certification_date": "2024-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AZ",
            "license": "5861",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "5861",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "5861",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.