Individual provider Active NPI

Nicholas Oliver Berezich, NP-C

  • Family Nurse Practitioner
  • Azle, TX
National Provider Identifier
1922575737
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP139345 Issued in TX
Practice address
141 Industrial Ave
Azle, TX 76020-2901
Phone
(817) 444-3231
NPI assigned
Oct 30, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP139345 TX Primary

Addresses

Primary practice location

141 Industrial Ave
Azle, TX 76020-2901

Mailing address

1301 N Saginaw Blvd
Saginaw, TX 76179-5095
Phone (817) 847-6918

Other practice location 1

1301 N Saginaw Blvd
Saginaw, TX 76179-5095
Phone (817) 847-6918

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210304000065 TX Practitioner - Nurse Practitioner 0749696458 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians
Strategic Medical Group TX PLLCGroup PAC ID 1355707423, 26 clinicians

Practice addresses (Care Compare)

141 Industrial Ave
Azle, TX 76020-2901
Phone (817) 444-8231

4400 Oak Park LN
Fort Worth, TX 76109-9534
Phone (817) 985-7772

Hospital & facility affiliations

  • Angels Care Home Health Home health agency, Weatherford, TX, CCN 677099
  • Healing Hands Healthcare LLC Home health agency, Wichita Falls, TX, CCN 677101
  • Centerwell Home Health Home health agency, Weatherford, TX, CCN 679523
  • Texas Health Harris Methodist Hospital Azle Hospital, Azle, TX, CCN 450419

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP139345TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa of Texas PLLC CurrentSince Apr 1, 2021 Accepting new patients
Texas Health Physicians Group Current Accepting new patients
Texas Health Physicians Group CurrentSince Sep 1, 2024 Accepting new patients
Strategic Medical Group TX PLLC CurrentSince Feb 1, 2026 Accepting new patients
Texas Health Physicians Group CurrentSince Sep 1, 2024 Accepting new patients
Vpa of Texas PLLC CurrentSince Apr 1, 2021 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Apr 1, 2021 Accepting new patients
Texas Health Physicians Group Past Accepting new patients
Total MD Physicians Group, PLLC PastSince Aug 19, 2021 Accepting new patients

Locations

141 Industrial Ave
Azle, TX 76020
Phone (817) 270-3132

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

3920 W Wheatland Rd
Ste 152
Dallas, TX 75237
Phone (214) 467-0432

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

6100 Harris Pkwy
Ste 1240
Fort Worth, TX 76132
Phone (817) 433-5155

4400 Oak Park Ln
Ft Worth, TX 76109
Phone (817) 207-9600

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

Interoperability endpoints

  • Direct secure messaging: nberezich2571011@direct.texashealth.org

Organizations & group practices 10

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 4

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": "1540857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1922575737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 N SAGINAW BLVD",
            "city": "SAGINAW",
            "state": "TX",
            "postal_code": "761795095",
            "telephone_number": "817-847-6918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 INDUSTRIAL AVE",
            "city": "AZLE",
            "state": "TX",
            "postal_code": "760202901",
            "telephone_number": "817-444-3231"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 N Saginaw Blvd",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "TX",
            "postal_code": "761795095",
            "country_code": "US",
            "telephone_number": "817-847-6918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEREZICH",
        "first_name": "NICHOLAS",
        "middle_name": "OLIVER",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-30",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP139345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Azle, TX

Sources for this page

Verify at the official NPI Registry.