NPIMap

Individual provider Active NPI

Bernard C Proy, M.D.

  • Family Medicine Physician
  • Corry, PA
National Provider Identifier
1790708493
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD025566E Issued in PA
Practice address
315 York St
Corry, PA 16407-1412
Phone
(814) 664-8686
Fax
(814) 664-9826
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 148848-1 NY
Family Medicine Physician 207Q00000X MD025566E PA Primary

Addresses

Primary practice location

315 York St
Corry, PA 16407-1412

Mailing address

315 York St
Corry, PA 16407-1412
Phone (814) 664-8686

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bproy148911@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100826001087 PA Practitioner - Family Practice 6204882616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Jefferson Medical College of Thomas Jefferson University, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent Medical Education and Research Institute IncGroup PAC ID 3870405137, 297 clinicians

Practice addresses (Care Compare)

315 York St
Corry, PA 16407-1412
Phone (814) 664-8686

Hospital & facility affiliations

  • Community Nursing Services of North East Home health agency, North East, PA, CCN 397089
  • Allegheny Health Network Healthcare at Home Home H Home health agency, Warrendale, PA, CCN 398069
  • Visiting Nurse Association of Erie County Home health agency, Erie, PA, CCN 397034
  • Community Nursing Services of North East Hospice, North East, PA, CCN 391645
  • Aseracare Hospice Hospice, Waterford, PA, CCN 391661
  • Chautauqua Hospice and Palliative Care Hospice, Lakewood, NY, CCN 331554
  • Lecom Health Corry Memorial Hospital Hospital, Corry, PA, CCN 391308
  • Saint Vincent Hospital Hospital, Erie, PA, CCN 390009
  • Upmc Hamot Hospital, Erie, PA, CCN 390063
  • Warren General Hospital Hospital, Warren, PA, CCN 390146
  • Warren General Hospital Hospital, Warren, PA, CCN 391319
  • Corry Manor Nursing home, Corry, PA, CCN 395489

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
148848-1NYMDFamily Medicine Physician
MD025566EPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincent Medical Education and Research Institute Inc Family Medicine CurrentSince Jan 1, 2015 Accepting new patients
Medical Group of Corry, Inc. Current Accepting new patients
HCF of Corry, Inc. Past Accepting new patients
Corry Medical Services, Inc Past Accepting new patients

Locations

155 E State St
Albion, PA 16401
Phone (814) 756-4917

315 York St
Corry, PA 16407
Phone (814) 664-8686

1910 Sassafras St
Ste 100
Erie, PA 16502
Phone (814) 452-5772

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Corry ManorCorry, PA, CCN 395489 Skilled nursing facility Contracted Managing Employee
Adp of the SNF		 Jul 1, 2016
Jan 6, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 and National Provider Directory roles.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1790708493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 YORK ST",
            "city": "CORRY",
            "state": "PA",
            "postal_code": "164071412",
            "telephone_number": "814-664-8686",
            "fax_number": "814-664-9826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 YORK ST",
            "city": "CORRY",
            "state": "PA",
            "postal_code": "164071412",
            "telephone_number": "814-664-8686",
            "fax_number": "814-664-9826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROY",
        "first_name": "BERNARD",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "148848-1",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD025566E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bproy148911@direct.ahn.org",
            "affiliation": "N",
            "address_1": "315 York St",
            "city": "Corry",
            "state": "PA",
            "country_code": "US",
            "postal_code": "164071412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Corry, PA

Sources for this page

Verify at the official NPI Registry.