Individual provider Active NPI

Paul Richard Bercher, M.D.

  • Family Medicine Physician
  • Paris, TX
National Provider Identifier
1720087174
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D7524 Issued in TX
Practice address
140 S Collegiate Dr Ste 100
Paris, TX 75460-6319
Phone
(903) 783-1818
Fax
(903) 739-8370
NPI assigned
Jul 19, 2005
Last updated
Apr 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D7524 TX Primary

Addresses

Primary practice location

140 S Collegiate Dr Ste 100
Paris, TX 75460-6319

Mailing address

1055 Clarksville St
Suite 200
Paris, TX 75460-6097
Phone (903) 739-7700

Other identifiers 4

IdentifierTypeStateIssuer
0057GUOtherTXBLUE CROSS
100075750AOtherOKMEDICAID OKLAHOMA
080181554OtherTXRAILROAD MEDICARE
126295807MedicaidTX

Other names 1

  • Paul Richard Bercher Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240529000524 TX Order and Referring Only - Hospice/Palliative CarePractitioner - Hospice/Palliative Care 9739161308

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Platinum Palliative & Hospice Care, Inc. Family Medicine PastSince Apr 28, 2024 Accepting new patients
Red River Valley Radiology Associates Past Accepting new patients
Essent PRMC LP Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1720087174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 CLARKSVILLE ST",
            "address_2": "SUITE 200",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754606097",
            "telephone_number": "903-739-7700",
            "fax_number": "903-739-7989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 S COLLEGIATE DR STE 100",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754606319",
            "telephone_number": "903-783-1818",
            "fax_number": "903-739-8370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERCHER",
        "first_name": "PAUL",
        "middle_name": "RICHARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "D7524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0057GU",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID  OKLAHOMA",
            "identifier": "100075750A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080181554",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126295807",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAUL",
            "last_name": "BERCHER",
            "middle_name": "RICHARD",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Paris, TX

Sources for this page

Verify at the official NPI Registry.