Berd Dynasty LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

BERD DYNASTY LLC

Practice address

3208 N Sherman Dr
Indianapolis, IN 46218-2173

Phone

(317) 653-1033

Fax

(317) 653-1001

NPI assigned

Nov 18, 2021

Organization subpart

No

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

Authorized official

Name

Carlos Darden

Title

Owner

Phone

(317) 653-1033

Specialties & licenses 1

Addresses

Other names 1

• Fresh Start Treatment Facility Doing business as

Electronic endpoints 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1637193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686182400000",
    "number": "1083371504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3208 N SHERMAN DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462182173",
            "telephone_number": "317-653-1033",
            "fax_number": "317-653-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3208 N SHERMAN DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462182173",
            "telephone_number": "317-653-1033",
            "fax_number": "317-653-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERD DYNASTY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-18",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A",
        "authorized_official_last_name": "DARDEN",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-653-1033"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "treatment@freshstartindy.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3208 N Sherman Dr",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462182173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Fresh Start Treatment Facility",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fresh Start Treatment Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Benzol LLC
• Rachael Bercot
• Alan Bercovitz, MD
• Amy Coletta Bercovitz, OT
• Hilary Bercovitz, LSW
• Jennifer Berday, LCSW
• Douglas A Berebitsky, MD
• Michael Berend, MD
• Julie Berendes
• Alexandra S Beres, MS

• All providers in Indianapolis, IN
• Substance Abuse Rehabilitation Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.