Individual provider Active NPI

Nathan C Berry, D.O.

  • Emergency Medicine Physician
  • Fairmont, WV
National Provider Identifier
1578893301
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
2440 Issued in WV
Practice address
110 Meadowlane Ave
Fairmont, WV 26554-2154
Phone
(256) 443-4743
NPI assigned
Dec 29, 2009
Last updated
Apr 5, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2440 WV Primary

Addresses

Primary practice location

110 Meadowlane Ave
Fairmont, WV 26554-2154

Mailing address

55 Hospital Dr
Petersburg, WV 26847-9549

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address nberry166421@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address nberry166421@direct.wvuhsdirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20171218000628 WV Practitioner - Pain ManagementPractitioner - Anesthesiology 6103808787 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Braxton County Memorial HospitalGroup PAC ID 5193717759, 46 clinicians
United Hospital Center IncGroup PAC ID 8123936010, 290 clinicians

Practice addresses (Care Compare)

1 Amalia Dr
Buckhannon, WV 26201-2239
Phone (304) 473-2000

100 Hoylman Dr
Gassaway, WV 26624-9318
Phone (304) 364-5156

227 Medical Park Dr
Suite 103
Bridgeport, WV 26330-8421
Phone (681) 342-3500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2440WVMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
St Josephs Hospital of Buckhannon Inc CurrentSince Oct 19, 2020 Accepting new patients
Braxton County Memorial Hospital CurrentSince Aug 16, 2025 Accepting new patients
United Hospital Center, Inc. CurrentSince May 18, 2020 Accepting new patients
Braxton County Memorial Hospital CurrentSince Aug 16, 2025 Accepting new patients
Hahn Enterprises PLLC Past Accepting new patients
Kirksville Anesthesia Associates, P.C. Past Accepting new patients
United Hospital Center Past Accepting new patients
St Josephs Hospital of Buckhannon Emergency Medicine Past Accepting new patients

Locations

227 Medical Park Dr
Ste 103
Bridgeport, WV 26330
Phone (681) 342-3561

327 Medical Park Dr
Bridgeport, WV 26330
Phone (681) 342-1000

916 W Main St
Bridgeport, WV 26330
Phone (304) 842-1034

1 Amalia Dr
Buckhannon, WV 26201
Phone (304) 473-2185

10 Amalia Dr
Ste C1
Buckhannon, WV 26201
Phone (304) 460-7461

10 Amalia Dr
Ste C5
Buckhannon, WV 26201
Phone (304) 460-7040

2673 Davisson Run Rd
Ste 303
Clarksburg, WV 26301

100 Hoylman Dr
Gassaway, WV 26624
Phone (304) 364-1046

Interoperability endpoints

  • Direct secure messaging: berry.nathan.003.0480018@ohvmc.meditab.direct-ci.com
  • Direct secure messaging: berry.nathan.004.0480017@frmcu.meditab.direct-ci.com
  • Direct secure messaging: nberry166421@direct.wvuhsdirect.com

Organizations & group practices 8

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.

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": "1262044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1578893301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 HOSPITAL DR",
            "city": "PETERSBURG",
            "state": "WV",
            "postal_code": "268479549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MEADOWLANE AVE",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265542154",
            "telephone_number": "256-443-4743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "NATHAN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-29",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "2440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nberry166421@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "327 Medical Park Dr",
            "city": "Bridgeport",
            "state": "WV",
            "country_code": "US",
            "postal_code": "263309006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nberry166421@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "327 Medical Park Dr",
            "city": "Bridgeport",
            "state": "WV",
            "country_code": "US",
            "postal_code": "263309006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairmont, WV

Sources for this page

Verify at the official NPI Registry.