Healthcare Provider Details

I. General information

NPI: 1255132783
Provider Name (Legal Business Name): CAROLINE BERO PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2025
Last Update Date: 10/07/2025
Certification Date: 10/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

91 CUMBERLAND PKWY
MECHANICSBURG PA
17055-5676
US

IV. Provider business mailing address

205 SAINT CHARLES WAY
YORK PA
17402-4659
US

V. Phone/Fax

Practice location:
  • Phone: 717-972-0275
  • Fax:
Mailing address:
  • Phone: 717-741-4666
  • Fax: 717-741-9649

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberMA066211
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: