Active NPI
Mathew David Berner, MD
- Emergency Medicine Physician
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD152470
- Practice address
- 10000 SE Main St Ste 45
Portland, OR 97216-2461 - Phone
- (503) 251-6352
- NPI assigned
- Jun 5, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 4301087692 | MI | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 4301087692 | MI | |
| Emergency Medicine Physician | 207P00000X | MD152470 | OR | Primary |
Addresses
Primary practice location
10000 SE Main St Ste 45
Portland, OR 97216-2461
Mailing address
14436 SE Mountain Ridge Ave
Happy Valley, OR 97086-4041
Phone (503) 658-2912
Other practice location 1
1000 Oakland Dr
Kalamazoo, MI 49008-1282
Phone (269) 337-4400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- 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 Compare- Specialty
- Emergency Medicine
- Education
- University of Nevada School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1155 Mill St
MCZ 11
Reno, NV 89502-1576
Phone (775) 324-4040
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD152470 | OR | MD | Emergency Medicine Physician |
| 4301087692 | MI | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound Physicians Emergency Medicine of Nevada Bessler PLLC | Emergency Medicine | Current | Accepting new patients |
| Brown, Calvanese, Cameron LTD | Emergency Medicine | Current | Accepting new patients |
| Kalamazoo Emergency Associates, PLC | Emergency Medicine | Past | Accepting new patients |
Locations
1155 Mill St
Reno, NV 89502
Phone (775) 982-7878
1155 Mill St
#11
Reno, NV 89502
Phone (775) 327-5174
2375 E Prater Way
Sparks, NV 89434
Phone (775) 331-7000
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 and National Provider Directory roles.
-
- Emergency Medicine Physician
- Reno, NV
- NPI 1275568479
-
- Emergency Medicine Physician
- Sparks, NV
- NPI 1881151231
-
- Emergency Medicine Physician
- Kalamazoo, MI
- NPI 1942251244
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Reno, NV
- NPI 1124098421
-
- General Acute Care Hospital
- Sparks, NV
- NPI 1932517299
-
- General Acute Care Hospital
- Reno, NV
- NPI 1720058027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1831391358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14436 SE MOUNTAIN RIDGE AVE",
"city": "HAPPY VALLEY",
"state": "OR",
"postal_code": "970864041",
"telephone_number": "503-658-2912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10000 SE MAIN ST STE 45",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972162461",
"telephone_number": "503-251-6352"
}
],
"practiceLocations": [
{
"address_1": "1000 Oakland Dr",
"address_purpose": "LOCATION",
"city": "Kalamazoo",
"state": "MI",
"postal_code": "490081282",
"country_code": "US",
"telephone_number": "269-337-4400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERNER",
"first_name": "MATHEW",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-05",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "4301087692",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MI",
"license": "4301087692",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OR",
"license": "MD152470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.