Eric Andrew Berla, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Practice address

400 Water St
Cahokia, IL 62206-1602

Phone

(618) 337-7200

NPI assigned

Jul 18, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dr Eric Berla

  • General Practice Dentistry
  • Cahokia, IL
  • NPI 1598092272
  NPD (past) Authorized official

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548288442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 WATER ST",
            "city": "CAHOKIA",
            "state": "IL",
            "postal_code": "622061602",
            "telephone_number": "618-337-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WATER ST",
            "city": "CAHOKIA",
            "state": "IL",
            "postal_code": "622061602",
            "telephone_number": "618-337-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERLA",
        "first_name": "ERIC",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1001200",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holly Lynn Abell
• Atrium Health Care & Rehabilitation Center of Cahokia L.P (Bria of Cahokia)
• B & D Pharmacy Inc (fisher pharmacy)
• Leah A Balonzo, P.T.
• Jessica Belba
• Enrico Bertucci Jr., R.PH.
• Neir Bhalavat
• Bonding With Care LLC
• Andrew Dennis Brand
• Ca Group LLC

• General Practice Dentistry in Cahokia, IL
• Providers in Cahokia, IL by specialty
• General Practice Dentistry in Illinois

• 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.

Verify at the official NPI Registry.