Active NPI
Deborah S Vert, DO
- Pediatrics Physician
- Burleson, TX
National Provider Identifier
1194800367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- K0392
- Practice address
- 225 SE John Jones Dr
Burleson, TX 76028-8341 - Phone
- (817) 447-0445
- Fax
- (817) 447-2273
- NPI assigned
- Oct 26, 2006
- Last updated
- Apr 19, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | K0392 | TX | Primary |
Addresses
Primary practice location
225 SE John Jones Dr
Burleson, TX 76028-8341
Mailing address
PO Box 733784
Dallas, TX 75373-3784
Phone (682) 885-1855
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dvert17642@CookChildrens.direct-ci.com |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K0392 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cook Children's Physician Network | Pediatrics | Current | Accepting new patients |
| Cook Children's Physician Network | Pediatrics | Current | Accepting new patients |
| Cook Children's Medical Center | Past | Accepting new patients |
Locations
801 7th Ave
Ft Worth, TX 76104
Phone (682) 885-4054
136 El Chico Trl
Ste 102
Willow Park, TX 76087
Phone (817) 441-5412
Interoperability endpoints
- dvert17642@cookchildrens.direct-ci.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- Fort Worth, TX
- NPI 1750369203
-
- Pediatrics Physician
- Fort Worth, TX
- NPI 1083472062
-
dba Cook Children's Behavioral Health
- Clinical Child & Adolescent Psychologist
- Fort Worth, TX
- NPI 1942509963
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618790400000",
"number": "1194800367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 733784",
"city": "DALLAS",
"state": "TX",
"postal_code": "753733784",
"telephone_number": "682-885-1855",
"fax_number": "682-885-1396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 SE JOHN JONES DR",
"city": "BURLESON",
"state": "TX",
"postal_code": "760288341",
"telephone_number": "817-447-0445",
"fax_number": "817-447-2273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERT",
"first_name": "DEBORAH",
"middle_name": "S",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-26",
"last_updated": "2021-04-19",
"certification_date": "2021-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "K0392",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dvert17642@CookChildrens.direct-ci.com",
"affiliation": "N",
"address_1": "225 SE John Jones Dr",
"city": "Burleson",
"state": "TX",
"country_code": "US",
"postal_code": "760288341",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Burleson, TX
- Jessica Vaughan, FNP-BC
- Karla Yadira Vega, NURSE LVN
- Cindy Velsaquez
- Vermor Healthcare LLC (Vermor Hospice)
- Katherine Vernon, MS, LPC-A
- Vignette Counseling, PLLC
- Nancy Villanueva Cabansag, D.D.S.
- Jessica Rashell Virgil, LMFT-A
- Vision Care Associates of Burleson PLLC (Vision Care Associates of Burleson)
- Vision Plaza PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.