Active NPI
Gary Browning Berner, M.D.
- Adolescent Medicine (Internal Medicine) Physician
- Springdale, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent Medicine (Internal Medicine) Physician
- License
- E-9531
- Practice address
- 614 E Emma Ave
Suite 300
Springdale, AR 72764-4469 - Phone
- (479) 751-7417
- NPI assigned
- Apr 26, 2012
- Last updated
- Aug 16, 2016
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Adolescent Medicine (Internal Medicine) Physician | 207RA0000X | E-9531 | AR | Primary |
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- 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
- 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
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
420 N West End St
Springdale, AR 72764
Phone (479) 750-8859
614 E Emma Ave
Ste 300
Springdale, AR 72764
Phone (479) 751-4898
Interoperability endpoints
- gary.berner@ccn.eclinicaldirectplus.com
Organizations & group practices 5
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.
-
dba Community Clinic West Fork
- Federally Qualified Health Center (FQHC)
- West Fork, AR
- NPI 1336986785
-
dba Community Clinic Central Junior High
- Federally Qualified Health Center (FQHC)
- Springdale, AR
- NPI 1821838996
-
dba Community Clinic Fayetteville High School
- Federally Qualified Health Center (FQHC)
- Fayetteville, AR
- NPI 1316639149
-
dba Parson Hills School Based Health Center
- Federally Qualified Health Center (FQHC)
- Springdale, AR
- NPI 1649814138
-
dba Community Clinic Springdale Medical
- Federally Qualified Health Center (FQHC)
- Springdale, AR
- NPI 1699785089
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471305600000",
"number": "1659639664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "614 E EMMA AVE",
"address_2": "SUITE 300",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727644469",
"telephone_number": "479-751-7417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "614 E EMMA AVE",
"address_2": "SUITE 300",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727644469",
"telephone_number": "479-751-7417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNER",
"first_name": "GARY",
"middle_name": "BROWNING",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-26",
"last_updated": "2016-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RA0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Adolescent Medicine",
"state": "AR",
"license": "E-9531",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springdale, AR
- Samantha Necole Bennett
- Karley Rachel Benson
- Robyn Elizabeth Benson, MHPP
- Brianna Alexis Bentley, OTR
- Megan Berg, MOT, OTR/L
- Phyllisa Best
- Bethel Burris Oliver PLLC (Arkansas Dentistry and Braces)
- Bethel Burris Oliver PLLC (Arkansas Dentistry and Braces)
- Better Home Living, LLC (Blossom Hill)
- Elizabeth Noel Bettinson, M.S., CF-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2016; 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.