Individual provider Active NPI

Brian Berberian, M.D.

  • Gastroenterology Physician
  • Bangor, ME
National Provider Identifier
1861422586
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
25MA07878000 Issued in NJ
Practice address
360 Broadway Ste 100
Bangor, ME 04401
Phone
(207) 907-3550
Fax
(207) 907-3562
NPI assigned
Jul 5, 2006
Last updated
May 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 25MA07878000 NJ Primary
Gastroenterology Physician 207RG0100X MD22765 ME
Gastroenterology Physician 207RG0100X 85891 SC
Gastroenterology Physician 207RG0100X MD441631 PA
Pulmonary Disease Physician 207RP1001X 25MA13028400 NJ

Addresses

Primary practice location

360 Broadway Ste 100
Bangor, ME 04401

Mailing address

PO Box 7291
Lewiston, ME 04243-7291
Phone (207) 777-8941

Other practice location 1

63 Kresson Rd
Suite 104
Cherry Hill, NJ 08034-3200
Phone (856) 751-7420

Other practice location 2

954 Isabel Dr
Lebanon, PA 17042-7482
Phone (717) 376-1180

Other practice location 3

2350 Freedom Way Ste 200
York, PA 17402-8200
Phone (717) 812-5120

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bberberian790369@direct-prd.goodhelpconnections.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NM, ME, PA, SC5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20050912000832 NJ Practitioner - GastroenterologyPractitioner - Internal Medicine 4486686490 Reassigns benefits to 3 organizations
I20171103001779 NM Practitioner - Internal MedicinePractitioner - Gastroenterology 4486686490 Reassigns benefits to 2 organizations
I20190503002142 ME Practitioner - Gastroenterology 4486686490 Reassigns benefits to 3 organizations
I20211108000215 PA Practitioner - GastroenterologyPractitioner - Internal Medicine 4486686490 Reassigns benefits to 2 organizations
I20240325000975 SC Practitioner - Gastroenterology 4486686490 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Gastroenterology of Northern NJ LLCGroup PAC ID 9335485630, 2 clinicians
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

15 Arkansas Ave
Ocean City, NJ 08226-2962

16 S Rhode Island Ave
Atlantic City, NJ 08401-7759
Phone (201) 710-7733

230 E Ridgewood Ave
Paramus, NJ 07652-4142
Phone (201) 967-4000

37 N 5TH St
Wellspan Digestive HLTH
Gettysburg, PA 17325-2004
Phone (717) 339-3125

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy37
Upper gastrointestinal (GI) endoscopy for acid reflux42

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD22765MEMDGastroenterology Physician
MD441631PAMDGastroenterology Physician
25MA13028400NJMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Penobscot Valley Hospital CurrentSince May 28, 2024 Accepting new patients
Wellspan Medical Group CurrentSince Nov 29, 2021 Accepting new patients
St. Joseph Hospital CurrentSince Apr 8, 2019 Accepting new patients
Prospect Health Access Network, Inc. CurrentSince May 22, 2023 Accepting new patients
Southwest Medical Associates, LLC CurrentSince Dec 1, 2023 Accepting new patients
SW Infusion LLC Current Accepting new patients
Prospect Health Access Network, Inc. CurrentSince May 22, 2023 Accepting new patients
Wellspan Medical Group CurrentSince Nov 29, 2021 Accepting new patients
Prospect Health Access Network, Inc. Current Accepting new patients
Southwest Medical Associates, LLC CurrentSince Dec 1, 2023 Accepting new patients
Wellspan Medical Group Gastroenterology Current Accepting new patients
Penobscot Valley Hospital CurrentSince May 28, 2024 Accepting new patients
Bon Secours Medical Group Greenville Specialty Care LLC CurrentSince May 1, 2024 Accepting new patients
Bon Secours Medical Group Greenville Specialty Care LLC CurrentSince May 1, 2024 Accepting new patients
Bergen County Improvement Authority CurrentSince Feb 7, 2025 Accepting new patients
Bergen County Improvement Authority CurrentSince Feb 7, 2025 Accepting new patients
Executive Health Resources Clinical Staffing Solutions PC Past Accepting new patients
Lerna Inpatient Services Past Accepting new patients
Patient Immediate Care PC Past Accepting new patients
Clinical Staffing Solutions P.C. Past Accepting new patients
Hera Inpatient Services Past Accepting new patients
Familycare Associates,PA Past Accepting new patients
Lekana Inpatient Services Past Accepting new patients

Locations

360 Broadway
#L
Bangor, ME 04401
Phone (207) 262-1703

360 Broadway
Ste 100
Bangor, ME 04401
Phone (207) 907-3550

7 Transalpine Rd
Lincoln Ctr, ME 04457
Phone (207) 794-3321

15 Route 516
Old Bridge, NJ 08857
Phone (732) 254-7800

230 E Ridgewood Ave
Paramus, NJ 07652
Phone (201) 225-4700

4101 Indian School Rd NE
Ste 110
Albuquerque, NM 87110
Phone (505) 727-8360

500 Walter St NE
Ste 401
Albuquerque, NM 87102
Phone (505) 727-5910

715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500

1 Medical Center Blvd
Chester, PA 19013
Phone (610) 447-6666

1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744

1 Medical Center Blvd
Ste 531
Chester, PA 19013
Phone (610) 447-2727

37 N 5th St
Gettysburg, PA 17325
Phone (717) 334-7637

500 Evergreen Dr
Ste 26
Glen Mills, PA 19342
Phone (610) 619-7475

954 Isabel Dr
Lebanon, PA 17042
Phone (717) 376-1180

100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281

1600 S George St
York, PA 17403
Phone (717) 848-3615

2350 Freedom Way
Ste 200
York, PA 17402
Phone (717) 812-5120

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

317 Saint Francis Dr
Ste 220
Greenville, SC 29601
Phone (864) 255-1901

Interoperability endpoints

  • Direct secure messaging: bberberian790369@direct-prd.goodhelpconnections.org
  • Direct secure messaging: berberian.brian.1@5664.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/5664/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-usa.unify.chbase.com/org/penob-eadbba22

Organizations & group practices 26

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.

View all 26

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1861422586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7291",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042437291",
            "telephone_number": "207-777-8941",
            "fax_number": "207-777-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 BROADWAY STE 100",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "04401",
            "telephone_number": "207-907-3550",
            "fax_number": "207-907-3562"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "63 Kresson Rd",
            "address_2": "Suite 104",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080343200",
            "country_code": "US",
            "telephone_number": "856-751-7420",
            "fax_number": "856-424-3113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "954 Isabel Dr",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170427482",
            "country_code": "US",
            "telephone_number": "717-376-1180",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2350 Freedom Way Ste 200",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174028200",
            "country_code": "US",
            "telephone_number": "717-812-5120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERBERIAN",
        "first_name": "BRIAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "25MA07878000",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "ME",
            "license": "MD22765",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "SC",
            "license": "85891",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD441631",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "25MA13028400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bberberian790369@direct-prd.goodhelpconnections.org",
            "affiliation": "N",
            "address_1": "360 Broadway Ste 100",
            "city": "Bangor",
            "state": "ME",
            "country_code": "US",
            "postal_code": "04401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

Verify at the official NPI Registry.