Eduardo T Berdecio, M.D.

Primary specialty

Psychoanalysis PsychologistTaxonomy code 103TP0814X

License

0101242163 Issued in VA

Practice address

620 Court St
Lynchburg, VA 24504-1312

Phone

(434) 455-2082

NPI assigned

Jul 21, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• The Charlotte Hungerford Hospital

  • General Acute Care Hospital
  • Torrington, CT
  • NPI 1629075734
  NPD (past)

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

{
    "created_epoch": "1184976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184976000000",
    "number": "1154521771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 COURT ST",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245041312",
            "telephone_number": "434-455-2082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 COURT ST",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245041312",
            "telephone_number": "434-455-2082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERDECIO",
        "first_name": "EDUARDO",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-21",
        "last_updated": "2007-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TP0814X",
            "taxonomy_group": "",
            "desc": "Psychologist, Psychoanalysis",
            "state": "VA",
            "license": "0101242163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Bennett
• Kimberly Rogers Bennett, FNP-C
• Michelle Denise Bennett, RN
• Paul J. Bennett, M.D.
• Kushal Bera
• Linda Michelle Bergal, MD
• Michael Bergal, M.D.,
• Chun R Berglund
• Deborah Hall Berkley, EDD, LPC
• Todd Benjamin Bernsohn, PA-C

• Psychoanalysis Psychologist in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• Psychoanalysis Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.