Gary Browning Berner, M.D.
Individual provider Active NPI Adolescent Medicine (Internal Medicine) Physician · Springdale, AR
NPI 1659639664 · NPPES record last updated Aug 16, 2016
Key facts
- NPI
- 1659639664
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adolescent Medicine (Internal Medicine) Physician 207RA0000X
- License
- E-9531 (AR)
- Practice address
- 614 E Emma Ave
Suite 300
Springdale, AR 72764-4469 - Phone
- (479) 751-7417
- NPI assigned
- Apr 26, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of Arkansas College of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St. Francis House Nwa, Inc.
Practice addresses (Care Compare)
3162 W Martin Luther King Blvd
Fayetteville, AR 72704-7679
Phone (479) 935-4834
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161004000823 | AR | Practitioner - Internal Medicine | 5991022816 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-9531 | AR | MD | Adolescent Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Francis House Nwa, Inc | Current |
Accepting new patients | |
| St Francis House Nwa, Inc | Current | Accepting new patients | |
| St Francis House Nwa, Inc | Current |
Accepting new patients | |
| St Francis House Nwa, Inc | Current |
Accepting new patients | |
| St. Francis House Nwa, Inc. | Past | Accepting new patients |
Locations
375 N Rupple Rd
Fayetteville, AR 72704
Phone (479) 718-0200
1233 W Poplar St
Rogers, AR 72756
Phone (479) 636-9235
304 S Maxwell St
Siloam Springs, AR 72761
Phone (479) 524-9550
614 E Emma Ave
Ste 300
Springdale, AR 72764
Phone (479) 751-4898
420 N West End St
Springdale, AR 72764
Phone (479) 750-8859
Interoperability endpoints
- gary.berner@ccn.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adolescent Medicine (Internal Medicine) Physician | 207RA0000X | E-9531 | AR | Yes |
Addresses
Primary practice location
614 E Emma Ave
Suite 300
Springdale, AR 72764-4469
Mailing address
614 E Emma Ave
Suite 300
Springdale, AR 72764-4469
Phone (479) 751-7417
Other providers in Springdale, AR
- Samantha Necole Bennett
- Karley Rachel Benson
- Robyn Elizabeth Benson
- Brianna Alexis Bentley
- Megan Berg
- Phyllisa Best
- Bethel Burris Oliver PLLC
- Bethel Burris Oliver PLLC
- Better Home Living, LLC
- Elizabeth Noel Bettinson
All providers in Springdale, AR · Adolescent Medicine (Internal Medicine) Physician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.