Individual provider Active NPI

Scott Nicholas Berger, MD

  • Gastroenterology Physician
  • Shenandoah, TX
National Provider Identifier
1093343246
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
U3158 Issued in TX
Practice address
111 Vision Park Blvd Ste 150
Shenandoah, TX 77384-3005
Phone
(936) 321-0033
Fax
(936) 321-0032
NPI assigned
Mar 31, 2020
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X U3158 TX Primary

Addresses

Primary practice location

111 Vision Park Blvd Ste 150
Shenandoah, TX 77384-3005

Mailing address

111 Vision Park Blvd Ste 150
Shenandoah, TX 77384-3005
Phone (936) 321-0033

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
I20260627000606 TX Practitioner - Gastroenterology 4385117670

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Baylor College of Medicine, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

111 Vision Park Blvd
Suite 150
Shenandoah, TX 77384-3002

PO Box
Suite 130894
Spring, TX 77393

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: sberger454670@directhoustonmethodist.org

NPI Registry JSON

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

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1093343246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 VISION PARK BLVD STE 150",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773843005",
            "telephone_number": "936-321-0033",
            "fax_number": "936-321-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 VISION PARK BLVD STE 150",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773843005",
            "telephone_number": "936-321-0033",
            "fax_number": "936-321-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGER",
        "first_name": "SCOTT",
        "middle_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-31",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "U3158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

Verify at the official NPI Registry.