Active NPI
Todd J Berger, MD
- Emergency Medicine Physician
- Austin, TX
National Provider Identifier
1164448429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- N9512
- Practice address
- 601 E 15TH St
Dept of Emergency Medicine
Austin, TX 78701-1930 - Phone
- (512) 324-7024
- NPI assigned
- Jul 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 48597 | GA | |
| Emergency Medicine Physician | 207P00000X | N9512 | TX | Primary |
Addresses
Primary practice location
601 E 15TH St
Dept of Emergency Medicine
Austin, TX 78701-1930
Mailing address
6300 La Calma Dr
Emergency Service Partners
Austin, TX 78752-3843
Phone (512) 452-8533
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48597 | GA | MD | Emergency Medicine Physician |
| N9512 | TX | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascension Seton | Past | Accepting new patients | |
| Emergency Medicine Specialists of North Texas PA | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Luling, TX
- NPI 1215118609
-
- Emergency Medicine Physician
- Flower Mound, TX
- NPI 1568793552
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328054400000",
"number": "1164448429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6300 LA CALMA DR",
"address_2": "EMERGENCY SERVICE PARTNERS",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787523843",
"telephone_number": "512-452-8533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 E 15TH ST",
"address_2": "DEPT OF EMERGENCY MEDICINE",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787011930",
"telephone_number": "512-324-7024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGER",
"first_name": "TODD",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2012-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "GA",
"license": "48597",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "N9512",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.