Individual provider Active NPI

Douglas J Berne, M.D.

  • Psychiatry Physician
  • Temple, PA
National Provider Identifier
1760402283
Registry record updated Jun 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD045342L Issued in PA
Practice address
704 Hay Rd
Temple, PA 19560-1843
Phone
(610) 799-7810
Fax
(610) 929-4686
NPI assigned
Jul 20, 2006
Last updated
Jun 2, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD045342L PA Primary

Addresses

Primary practice location

704 Hay Rd
Temple, PA 19560-1843

Mailing address

4085 Independence Dr
Schnecksville, PA 18078-2574
Phone (610) 977-8853

Other identifiers 1

IdentifierTypeStateIssuer
102671034-0001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20041019000409 PA Practitioner - Psychiatry 5799745279 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.71 of 100Reported as group
Quality
73.34
Promoting interoperability
97
Improvement activities
40
Cost
78.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD045342LPAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tower Health Medical Group CurrentSince Dec 4, 2023 Accepting new patients
Reading Hospital CurrentSince Jul 8, 2024 Accepting new patients
Reading Hospital CurrentSince Jul 8, 2024 Accepting new patients
Tower Health Medical Group Current Accepting new patients
Tower Health Medical Group CurrentSince Dec 4, 2023 Accepting new patients
Reading Hospital Current Accepting new patients
Kidspeace Children's Hospital, Inc. Past Accepting new patients
Kidspeace National Centers, Inc. Past Accepting new patients

Locations

206 S 6th Ave
West Reading, PA 19611
Phone (484) 628-5437

301 S 7th Ave
Ste 130
West Reading, PA 19611
Phone (610) 988-4630

420 S 5th Ave
West Reading, PA 19611
Phone (484) 628-3637

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

Interoperability endpoints

  • Direct secure messaging: dberne181203@direct-lghealth.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496361600000",
    "number": "1760402283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4085 INDEPENDENCE DR",
            "city": "SCHNECKSVILLE",
            "state": "PA",
            "postal_code": "180782574",
            "telephone_number": "610-977-8853",
            "fax_number": "610-799-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 HAY RD",
            "city": "TEMPLE",
            "state": "PA",
            "postal_code": "195601843",
            "telephone_number": "610-799-7810",
            "fax_number": "610-929-4686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNE",
        "first_name": "DOUGLAS",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2017-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD045342L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102671034-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple, PA

Sources for this page

Verify at the official NPI Registry.