George A Berni, MD

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

MD00015888 Issued in WA

Practice address

1225 Campbell Way
Ste 101
Bremerton, WA 98310-3351

Phone

(360) 479-4203

Fax

(360) 478-7240

NPI assigned

Aug 10, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Thoracic & Vascular Center of Kitsap County Inc PS

  • Vascular Surgery Physician
  • Bremerton, WA
  • NPI 1629016522
  NPD (past) Authorized official
• Harrison Medical Center

  • Urgent Care Clinic/Center
  • Port Orchard, WA
  • NPI 1679613244
  NPD (past)

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320883200000",
    "number": "1831190040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 CHERRY AVE",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983104229",
            "telephone_number": "360-377-3911",
            "fax_number": "360-478-7240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 CAMPBELL WAY",
            "address_2": "STE 101",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983103351",
            "telephone_number": "360-479-4203",
            "fax_number": "360-478-7240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNI",
        "first_name": "GEORGE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2011-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "WA",
            "license": "MD00015888",
            "primary": true
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "WA",
            "license": "MD00015888",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hunter Martin Benton
• Michael Nikolay Berezhkov
• Rani Bergen
• Destiny Bergman Faust
• Gordon John Bergman
• Gretchen Cornwall Berni, ARNP
• Monica Elizabeth Berninghaus, DDS
• David M Bernstein, D.P.M.
• Claudet Berrones, BEHAVIOR TECHNICIAN
• Jenny Berry, LICSW, MSW, MHP

• Vascular Surgery Physician in Bremerton, WA
• Providers in Bremerton, WA by specialty
• Vascular Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.