Individual provider Active NPI

Michael G. Berno, MD

  • Child & Adolescent Psychiatry Physician
  • Baytown, TX
National Provider Identifier
1013987445
Registry record updated Apr 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
K3556 Issued in TX
Practice address
6730 Independence Blvd
#300
Baytown, TX 77521
Phone
(713) 351-7360
NPI assigned
Jan 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X K3556 TX
Child & Adolescent Psychiatry Physician 2084P0804X K3556 TX Primary

Addresses

Primary practice location

6730 Independence Blvd
#300
Baytown, TX 77521

Mailing address

PO Box 66308
Houston, TX 77266-6308
Phone (832) 548-5275

Other identifiers 4

IdentifierTypeStateIssuer
10009096OtherTXAMERIGROUP
080462703MedicaidTX
143877205MedicaidTX
82867GOtherTXBLUE CROSS BLUE SHIELD

Other names 1

  • Dr. Michael G. Berno Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120320000220 TX Practitioner - Psychiatry 2860652419 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Community Health Services, IncGroup PAC ID 7911969092, 153 clinicians

Practice addresses (Care Compare)

3430 Ctr St
Deer Park, TX 77536-5056
Phone (281) 628-2040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Community Health Services, Inc CurrentSince Sep 9, 2013 Accepting new patients
Legacy Community Health Services, Inc CurrentSince Sep 9, 2013 Accepting new patients
University of Texas Health Science Center at Houston Psychiatry Past Accepting new patients
The University of Texas Health Science Center at Houston Past Accepting new patients

Locations

4301 Garth Rd
Ste 302
Baytown, TX 77521
Phone (281) 420-8400

3509 Garth Rd
Baytown, TX 77521
Phone (832) 548-5215

6730 Independence Blvd
Ste 300
Baytown, TX 77521
Phone (281) 421-1524

3430 Center St
Deer Park, TX 77536
Phone (832) 266-7303

6441 High Star Dr
Houston, TX 77074
Phone (832) 548-5300

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429574400000",
    "number": "1013987445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66308",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772666308",
            "telephone_number": "832-548-5275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6730 INDEPENDENCE BLVD",
            "address_2": "#300",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "77521",
            "telephone_number": "713-351-7360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNO",
        "first_name": "MICHAEL",
        "middle_name": "G.",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2015-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "K3556",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TX",
            "license": "K3556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10009096",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080462703",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143877205",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "82867G",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "BERNO",
            "middle_name": "G.",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Baytown, TX

Sources for this page

Verify at the official NPI Registry.