Active NPI
Nathan C Berry, D.O.
- Emergency Medicine Physician
- Fairmont, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 2440
- Practice address
- 110 Meadowlane Ave
Fairmont, WV 26554-2154 - Phone
- (256) 443-4743
- NPI assigned
- Dec 29, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- 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
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
- United Hospital Center, Inc
- Braxton County Memorial Hospital, Inc
- St Joseph'S Hospital of Buckhannon, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Braxton County Memorial Hospital | Current | Accepting new patients | |
| United Hospital Center, Inc. | Current | Accepting new patients | |
| Braxton County Memorial Hospital | Current | Accepting new patients | |
| St Josephs Hospital of Buckhannon Inc | Current | Accepting new patients | |
| St Josephs Hospital of Buckhannon | Emergency Medicine | Past | Accepting new patients |
| Kirksville Anesthesia Associates, P.C. | Past | Accepting new patients | |
| United Hospital Center | Past | Accepting new patients | |
| Hahn Enterprises PLLC | Past | Accepting new patients |
Locations
227 Medical Park Dr
Ste 103
Bridgeport, WV 26330
Phone (681) 342-3561
916 W Main St
Bridgeport, WV 26330
Phone (304) 842-1034
327 Medical Park Dr
Bridgeport, WV 26330
Phone (681) 342-1000
10 Amalia Dr
Ste C1
Buckhannon, WV 26201
Phone (304) 460-7461
10 Amalia Dr
Ste C5
Buckhannon, WV 26201
Phone (304) 460-7040
1 Amalia Dr
Buckhannon, WV 26201
Phone (304) 473-2000
2673 Davisson Run Rd
Ste 303
Clarksburg, WV 26301
100 Hoylman Dr
Gassaway, WV 26624
Phone (304) 364-1046
Interoperability endpoints
- nberry166421@direct.wvuhsdirect.com
- berry.nathan.003.0480018@ohvmc.meditab.direct-ci.com
- berry.nathan.004.0480017@frmcu.meditab.direct-ci.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 and National Provider Directory roles.
-
- Critical Access Hospital
- Gassaway, WV
- NPI 1356304547
-
- Critical Access Hospital
- Buckhannon, WV
- NPI 1124005061
-
- Internal Medicine Physician
- Bridgeport, WV
- NPI 1760965586
-
- Medicare Defined Swing Bed Hospital Unit
- Gassaway, WV
- NPI 1861580334
-
- Orthopaedic Surgery Physician
- Petersburg, WV
- NPI 1225341985
-
- Internal Medicine Physician
- Buckhannon, WV
- NPI 1841314473
Emergency Medicine
-
- Rheumatology Physician
- Bridgeport, WV
- NPI 1780767772
-
- Anesthesiology Physician
- Kirksville, MO
- NPI 1669498085
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Gassaway, WV
- NPI 1356304547
-
- Critical Access Hospital
- Buckhannon, WV
- NPI 1124005061
-
- General Acute Care Hospital
- Bridgeport, WV
- NPI 1184606600
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.