SPENCER ROBERT BERTHELSEN (NPI# 1295763290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295763290 |
| Entity Type | Individual |
| Full Name | SPENCER ROBERT BERTHELSEN |
| Credential | MD |
| Practice Address |
11555 University Blvd Sugar Land TX 77478-3889 |
| Mailing Address |
11511 Shadow Creek Pkwy Pearland TX 77584-7298 |
| Practice Telephone | 7134429100 |
| Mailing Telephone | 7134420000 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2016-12-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | E8327 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 808129 | 01 |
| TX | 116601901 | 05 | |
| TX | 116601902 | 05 |
| Street Address |
11555 UNIVERSITY BLVD |
| City | SUGAR LAND |
| State | TX |
| Zip Code | 77478-3889 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821095258 | Desiree B Thomas | Psychiatry & Neurology | 11555 University Blvd, Sugar Land, TX 77478-3889 | 2005-06-30 |
| 1093329856 | Vincent Tri Nguyen | Pharmacist | 11555 University Blvd, Sugar Land, TX 77478-3889 | 2020-08-31 |
| 1851846133 | Simmi Jinu Thomas | Nurse Practitioner | 11555 University Blvd, Sugar Land, TX 77478-3889 | 2016-08-17 |
| 1699122325 | Merlyn Mary Thomas | Obstetrics & Gynecology | 11555 University Blvd, Sugar Land, TX 77478-3889 | 2016-05-23 |
| 1891177754 | Joyce Brooks | Pharmacist | 11555 University Blvd, Sugar Land, TX 77478-3889 | 2015-06-26 |
| 1851773766 | Thomas Pavlik | Pharmacist | 11555 University Blvd, Sugar Land, TX 77478-3889 | 2015-06-26 |
| 1225472434 | Elmira Hansen | Family Medicine | 11555 University Blvd, Sugar Land, TX 77478-3889 | 2013-04-18 |
| 1356697197 | Hunaid Adam Gurji | Pediatrics | 11555 University Blvd, Sugar Land, TX 77478-3889 | 2012-07-30 |
| 1457613762 | Chi Kim Tran | Dermatology | 11555 University Blvd, Sugar Land, TX 77478 | 2012-06-12 |
| 1467686857 | Muneeb Mohammad | Internal Medicine | 11555 University Blvd, Sugar Land, TX 77478-3889 | 2009-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538794474 | Guiding Light Family Services of Texas, LLC | Clinic/Center | 322 Richland Drive, Sugarland, TX 77478 | 2020-03-11 |
| 1326671066 | Parimal Patel | Physical Therapist | 15591 Creekbend Dr Ste 201, Sugar Land, TX 77478 | 2020-02-21 |
| 1811529662 | Alexandria Gallien | Pharmacist | 13322 W Airport Blvd, Sugar Land, TX 77478 | 2020-02-10 |
| 1760022024 | Ronald Blancett | Physical Therapist | 56 Sugar Creek Center Blvd Suite 150, Sugar Land, TX 77478 | 2020-01-14 |
| 1871141549 | Lyanne Y Colon | Physical Therapist | 20403 University Blvd #100, Sugar Land, TX 77478 | 2019-08-27 |
| 1487201927 | Ephesians 2:10 Holdings, LLC | In Home Supportive Care | 1415 Sh-6, Suite A-310, Sugar Land, TX 77478 | 2019-08-20 |
| 1902466519 | Houston Regional Pain and Regenerative Medicine Pllc | Anesthesiology | 15555 Creek Bend Rd, Unit 200, Sugarland, TX 77478 | 2019-06-17 |
| 1891354072 | Adc Serives:dental PC | Clinic/Center | 12921 West Bellfort, Sugar Land, TX 77478 | 2019-06-11 |
| 1033677026 | Yang Dental, Pllc | Clinic/Center | 2220 Eldridge Rd Ste 150, Sugar Land, TX 77478 | 2019-03-08 |
| 1689159501 | Rafael Williams | Behavior Technician | 225 Matlage Way, Sugar Land, TX 77478 | 2018-09-26 |
| Find all providers in zip 77478 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730717927 | Ajay K Bhora Md Pa | Internal Medicine | 2647 Cordes Drive, Sugar Land, TX 77479 | 2020-04-01 |
| 1457984452 | Titan Md Health Partners Pllc | Internal Medicine | 5027 Wheaton Park Dr, Sugar Land, TX 77479-3717 | 2020-02-18 |
| 1700448321 | Greenfield Health Pllc | Internal Medicine | 5323 Macquarie Point Ln, Sugar Land, TX 77479-4795 | 2019-07-03 |
| 1568925576 | Quality Internal Medicine Services Pllc | Internal Medicine | 907 Bainbridge Dr, Sugar Land, TX 77479-2688 | 2019-04-08 |
| 1134694219 | Curtis Okpara Md LLC | Internal Medicine | 6210 Calico Pointe Ct, Sugar Land, TX 77479-3774 | 2018-10-04 |
| 1700312840 | Christopher Ryan Chen | Internal Medicine | 411 Lombardy Dr, Sugar Land, TX 77478-3305 | 2017-05-10 |
| 1255787529 | Sheevam Shah | Internal Medicine | 16926 Southwest Fwy, Sugar Land, TX 77479-2350 | 2016-05-05 |
| 1053799064 | Akhil Shenoy | Internal Medicine | 1441 Highway 6 Ste 100, Sugar Land, TX 77478-4951 | 2015-05-11 |
| 1962893636 | Sabarina Ramanathan | Internal Medicine | 4006 Weatherfield Ct, Sugar Land, TX 77479-3396 | 2015-02-16 |
| 1588061030 | Tariq Hussain | Internal Medicine | 1619 Meadowsweet Dr, Sugar Land, TX 77479-4082 | 2014-11-28 |
| Find all providers in SUGAR LAND | ||||
| City | SUGAR LAND |
| Zip Code | 77478 |
Please comment or provide details below to improve the information on SPENCER ROBERT BERTHELSEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.