Active NPI
David G Morris, MD
- Internal Medicine Physician
- Berkeley, CA
National Provider Identifier
1942283015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A62501
- Practice address
- 530 Gravatt Dr
Berkeley, CA 94705-1642 - Phone
- (510) 316-7253
- Fax
- (203) 785-6414
- NPI assigned
- Nov 22, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | A62501 | CA | |
| Pulmonary Disease Physician | 207RP1001X | A62501 | CA | |
| Internal Medicine Physician | 207R00000X | A62501 | CA | Primary |
Addresses
Primary practice location
530 Gravatt Dr
Berkeley, CA 94705-1642
Mailing address
530 Gravatt Dr
Berkeley, CA 94705-1642
Phone (510) 316-7253
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001417808 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A62501 | CA | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Berkeley Cardiovascular Medical Group | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 1
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.
-
- Cardiovascular Disease Physician
- Oakland, CA
- NPI 1194746057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629072000000",
"number": "1942283015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 GRAVATT DR",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947051642",
"telephone_number": "510-316-7253",
"fax_number": "203-785-6414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 GRAVATT DR",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947051642",
"telephone_number": "510-316-7253",
"fax_number": "203-785-6414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "DAVID",
"middle_name": "G",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-22",
"last_updated": "2021-08-16",
"certification_date": "2021-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "CA",
"license": "A62501",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CA",
"license": "A62501",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A62501",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001417808",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.