Active NPI
Nicholas Oliver Berezich, NP-C
- Family Nurse Practitioner
- Azle, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP139345
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 GroupStrategic Medical Group TX PLLC
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
- Healing Hands Healthcare LLC
- Centerwell Home Health
- Texas Health Harris Methodist Hospital Azle
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP139345 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vpa of Texas PLLC | Current | Accepting new patients | |
| Texas Health Physicians Group | Current | Accepting new patients | |
| Texas Health Physicians Group | Current | Accepting new patients | |
| Strategic Medical Group TX PLLC | Current | Accepting new patients | |
| Texas Health Physicians Group | Current | Accepting new patients | |
| Vpa of Texas PLLC | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | Current | Accepting new patients | |
| Texas Health Physicians Group | Past | Accepting new patients | |
| Total MD Physicians Group, PLLC | Past | 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
- 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.
-
- Clinical Medical Laboratory
- Euless, TX
- NPI 1760781082
-
- Sleep Disorder Diagnostic Clinic/Center
- Fort Worth, TX
- NPI 1114395969
-
- Sleep Disorder Diagnostic Clinic/Center
- Dallas, TX
- NPI 1174992051
-
- Internal Medicine Physician
- Kaufman, TX
- NPI 1992151740
-
- Clinical Social Worker
- San Antonio, TX
- NPI 1578175865
-
- Family Medicine Physician
- Austin, TX
- NPI 1982031852
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Weatherford, TX
- NPI 1073135927
-
- Home Health Agency
- Wichita Falls, TX
- NPI 1457722449
-
- Home Health Agency
- Weatherford, TX
- NPI 1467656694
-
- General Acute Care Hospital
- Azle, TX
- NPI 1508899204
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; 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.