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NPI 1508410465 · Internal Medicine Physician · Springfield, OH
Provider details
- NPI number
- 1508410465
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Anthony Berardi, President(937) 525-3015
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2655 West National Road
Springfield, OH 45504-3617
Phone: (937) 525-3067
Fax: (937) 525-3067
Approximate (ZIP-level) locationGet directions
Mailing address
2655 West National Road
Springfield, OH 45504-3617
Other names (DBA / former)
- Doing business as
- Springfield Masonic Community
Registry dates
- Enumerated
- 2019-07-30
- Last updated
- 2019-07-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.