MR. DAVID BERARDELLI (NPI# 1659601946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659601946 |
| Entity Type | Individual |
| Full Name | MR. DAVID BERARDELLI |
| Practice Address |
16607 Blanco Road Suite 303 San Antonio TX 78232-1940 |
| Practice Telephone | 3612300466 |
| Practice Fax Number | 2104939504 |
| Mailing Telephone | 3612300466 |
| Mailing Fax Number | 2104939504 |
| Enumeration Date | 2010-01-08 |
| Last Update Date | 2010-01-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
209-10982 | TX | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BOARD FOR ORTHOTISTS AND PROSTHISTS CERTIFICATION | C21287 | 01 |
| TX | TEXAS BOARD OF ORTHOTISTS AND PROSTHECS LICENSE AND CONTROL # | 209-10982 | 01 |
| Street Address |
16607 BLANCO ROAD SUITE 303 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78232-1940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558321778 | Stephen Boyd Fiebrich | Anesthesiology | 16607 Blanco Road, Suite 603, San Antonio, TX 78232-1941 | 2006-03-23 |
| 1093046104 | Regino V Garza | Specialist | 16607 Blanco Road, Suite 303, San Antonio, TX 78232-1940 | 2010-01-29 |
| 1801953419 | Joy Helen Coffee | Marriage & Family Therapist | 16607 Blanco Road, Suite 502, San Antonio, TX 78232 | 2007-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371334 | Rachelle Renee Morales | Counselor | 620 W Afton Oaks Blvd, San Antonio, TX 78232 | 2019-11-25 |
| 1508328360 | Ruene Anne Villalobos | Licensed Vocational Nurse | North Loop 1604 E #350, San Antonio, TX 78232 | 2019-04-02 |
| 1063908671 | Steven C. Albright Dds, Pa | Oral & Maxillofacial Surgery | 15600 San Pedro Ave Ste 107, San Antonio, TX 78232 | 2018-07-06 |
| 1437666583 | Jennifer Harris | Physician Assistant | 1380 Pantheon Way Ste 310, San Antonio, TX 78232 | 2018-01-10 |
| 1003334616 | Third Space Counseling and Consultation, Pllc | Counselor | 1380 Pantheon Way Suite 245, San Antonio, TX 78232 | 2017-09-03 |
| 1336678135 | Gregory Arellanes | Specialist/Technologist, Other | 1141 N Loop 1604 E #105-612, San Antonio, TX 78232 | 2017-06-06 |
| 1528437811 | Jonathan Hodge | Specialist/Technologist, Other | 1141 E Loop 1604, Suite 105, San Antonio, TX 78232 | 2015-09-17 |
| 1356726376 | Shawn Grubbs | Spec/Tech, Cardiovascular | 16620 Us Hwy 281n, Suite 300, San Antonio, TX 78232 | 2015-07-21 |
| 1336522051 | Comprehensive Neuromonitoring Pllc | Psychiatry & Neurology | 1411 N Loop 1064 E 105-612, San Antonio, TX 78232 | 2015-06-30 |
| 1841690526 | Janet Porter | Registered Nurse | 15909 San Pedro Ave Ste 204, San Antonio, TX 78232 | 2014-08-29 |
| Find all providers in zip 78232 | ||||
| Taxonomy Code | 1744P3200X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Prosthetics Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003432089 | Tamika N Brown | Specialist | 12521 Nacogdoches Rd Ste 106, San Antonio, TX 78217-2117 | 2020-06-24 |
| 1346747797 | Lula Gatling | Specialist | 6806 W Military Dr Ste 106, San Antonio, TX 78227-3616 | 2018-04-11 |
| 1043750573 | Andrea Hayden | Specialist | 13214 Huebner Rd, San Antonio, TX 78230-2072 | 2017-03-02 |
| 1366815516 | Megan Johnson-jackson | Specialist | 8018 New World, San Antonio, TX 78239-3517 | 2015-11-10 |
| 1912105073 | Azalea Scott | Specialist | 14538 Brook Hollow, San Antonio, TX 78232-3810 | 2007-07-10 |
| 1457333031 | Gary W Prescott | Specialist | 6715 San Pedro, San Antonio, TX 78216-7218 | 2005-11-18 |
| 1679950927 | Set-a-part Hair Studio | Specialist | 6806 W Military Dr, Suite 106, San Antonio, TX 78227-3613 | 2015-05-06 |
| 1750787776 | Bernard Watson IIi | Specialist | 801 Brooklyn Ave, San Antonio, TX 78215-1608 | 2014-11-19 |
| 1093046104 | Regino V Garza | Specialist | 16607 Blanco Road, Suite 303, San Antonio, TX 78232-1940 | 2010-01-29 |
| 1033355524 | Noel A Vega | Specialist | 701 S Zarzamora St, San Antonio, TX 78207-5209 | 2009-01-05 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78232 |
Please comment or provide details below to improve the information on MR. DAVID BERARDELLI.
| 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.