Theodore B. Berndt, M.D.
Individual provider Active NPI Cardiovascular Disease Physician · Reno, NV
NPI 1154348100 · NPPES record last updated Jul 25, 2017
Key facts
- NPI
- 1154348100
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- 3191 (NV)
- Practice address
- 1155 Mill St
Reno, NV 89502-1576 - Phone
- (775) 982-7878
- Fax
- (775) 982-4196
- NPI assigned
- Jul 16, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nhi-1 | Cardiovascular Disease | Past | Accepting new patients |
| Primary Care Plus Foundation | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | G22670 | CA | |
| Cardiovascular Disease Physician | 207RC0000X | 3191 | NV | Yes |
Addresses
Primary practice location
1155 Mill St
Reno, NV 89502-1576
Mailing address
850 Harvard Way
Reno, NV 89502-2055
Phone (775) 982-5262
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CC2328 | Other | NV | BLUE CROSS BLUE SHIELD |
| 11050642 | Other | CAQH | |
| XPY183369 | Medicaid | CA | |
| 002016077 | Medicaid | NV |
Other providers in Reno, NV
- Julian U Bernal
- Jason Bernard
- Jerika Bernard
- Molly Shannon Bernard
- Natalie Irene Bernard
- Amanda Berner
- Mark D Berner
- Alexis Vera Berney
- Thea Berning
- Atalie Joy Bernstein
All providers in Reno, NV · Cardiovascular Disease Physician in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.