Individual provider Active NPI

Timothy Robert Berigan, MD

  • Psychiatry Physician
  • Fort Huachuca, AZ
National Provider Identifier
1518060441
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
22022 Issued in AZ
Practice address
2240 Winrow Ave
USA Meddac, Rwbahc
Fort Huachuca, AZ 85613-7040
Phone
(520) 533-5161
Fax
(520) 533-5715
NPI assigned
Sep 6, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 22022 AZ Primary

Addresses

Primary practice location

2240 Winrow Ave
USA Meddac, Rwbahc
Fort Huachuca, AZ 85613-7040

Mailing address

10800 S Black Cactus TRL
Vail, AZ 85641-6463
Phone (520) 207-1787

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160218000512 AZ Practitioner - Psychiatry 5799080438 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
College of Physicians and Surgeons (Massachusetts), 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6050 N Corona Rd
Tucson, AZ 85704-1096
Phone (520) 469-8700

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sonora Behavioral Health Hospital, LLC CurrentSince Jan 29, 2016 Accepting new patients
Sonora Behavioral Health Hospital, LLC CurrentSince Jan 29, 2016 Accepting new patients

Locations

6050 N Corona Rd
Bldg 3
Tucson, AZ 85704
Phone (520) 469-8700

6050 N Corona Rd
Tucson, AZ 85704
Phone (520) 469-8700

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.

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518060441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 S BLACK CACTUS TRL",
            "city": "VAIL",
            "state": "AZ",
            "postal_code": "856416463",
            "telephone_number": "520-207-1787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 WINROW AVE",
            "address_2": "USA MEDDAC, RWBAHC",
            "city": "FORT HUACHUCA",
            "state": "AZ",
            "postal_code": "856137040",
            "telephone_number": "520-533-5161",
            "fax_number": "520-533-5715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERIGAN",
        "first_name": "TIMOTHY",
        "middle_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "22022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Huachuca, AZ

Sources for this page

Verify at the official NPI Registry.