Active NPI
John P Berreen, MD
- Ophthalmology Physician
- Bend, OR
National Provider Identifier
1780872184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD22414
- Practice address
- 2275 NE Doctors Dr
Ste 2
Bend, OR 97701-6324 - Phone
- (541) 693-5050
- Fax
- (541) 693-5051
- NPI assigned
- Oct 10, 2007
- Last updated
- Nov 21, 2008
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD22414 | OR | Primary |
Addresses
Primary practice location
2275 NE Doctors Dr
Ste 2
Bend, OR 97701-6324
Mailing address
2275 NE Doctors Dr
Ste 2
Bend, OR 97701-6324
Phone (541) 693-5050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 288210 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- 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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.75 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 79.18
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD22414 | OR | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bend Ophthalmology | Ophthalmology | Current | Accepting new patients |
| Orion Eye Center LLC | Ophthalmology | Current | Accepting new patients |
| Retina Clinic of the Cascades, PC | Ophthalmology | Past | Accepting new patients |
Locations
2357 NE Conners Ave
Ste 101
Bend, OR 97701
Phone (541) 383-2749
1775 SW Umatilla Ave
Redmond, OR 97756
Phone (541) 548-7170
Organizations & group practices 3
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.
-
- Ophthalmology Physician
- Redmond, OR
- NPI 1992044903
-
- Ophthalmology Physician
- Bend, OR
- NPI 1447241062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227225600000",
"number": "1780872184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2275 NE DOCTORS DR",
"address_2": "STE 2",
"city": "BEND",
"state": "OR",
"postal_code": "977016324",
"telephone_number": "541-693-5050",
"fax_number": "541-693-5051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2275 NE DOCTORS DR",
"address_2": "STE 2",
"city": "BEND",
"state": "OR",
"postal_code": "977016324",
"telephone_number": "541-693-5050",
"fax_number": "541-693-5051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERREEN",
"first_name": "JOHN",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-10",
"last_updated": "2008-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "OR",
"license": "MD22414",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "288210",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2008; 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.