Individual provider Active NPI

Thomas Pointdexter Bersot, MD

  • Internal Medicine Physician
  • San Francisco, CA
National Provider Identifier
1205037629
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G26303 Issued in CA
Practice address
1001 Potrero Avenue
BLDG 30 RM 3501K
San Francisco, CA 94110-3518
Phone
(415) 206-4615
Fax
(415) 476-4918
NPI assigned
May 31, 2007
Last updated
Jul 11, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G26303 CA Primary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X G26303 CA

Addresses

Primary practice location

1001 Potrero Avenue
BLDG 30 RM 3501K
San Francisco, CA 94110-3518

Mailing address

1650 Owens Street
San Francisco, CA 94158-2261
Phone (415) 734-2027

Other identifiers 1

IdentifierTypeStateIssuer
00G263030MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20071217000380 CA Practitioner - EndocrinologyPractitioner - Internal Medicine 9537259395 Reassigns benefits to 5 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of California SFGH Medical Group CurrentSince Jan 1, 2008 Accepting new patients
University of California SFGH Medical Group Current Accepting new patients
University of California San Francisco Internal Medicine CurrentSince Jul 1, 2007 Accepting new patients
UCSF Medical Group Business Services CurrentSince May 2, 2011 Accepting new patients
University of California SFGH Medical Group Internal Medicine CurrentSince Jan 1, 2008 Accepting new patients
UCSF Medical Group Business Services Internal Medicine CurrentSince May 2, 2011 Accepting new patients
City and County of San Francisco CurrentSince Nov 17, 2019 Accepting new patients
City & County of San Francisco CurrentSince Nov 17, 2019 Accepting new patients
University of California San Francisco CurrentSince Jul 1, 2007 Accepting new patients
Regents of the University of California Internal Medicine CurrentSince May 2, 2011 Accepting new patients
University of California San Francisco Current Accepting new patients
City & County of San Francisco Current Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients
Regents of the University of California Past Accepting new patients

Locations

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

1001 Potrero Ave
Bldg 30
San Francisco, CA 94110
Phone (415) 206-5438

1001 Potrero Ave
Rm 5H22
San Francisco, CA 94110
Phone (628) 206-4774

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

3333 California St
#S110
San Francisco, CA 94118
Phone (415) 514-2664

400 Parnassus Ave
San Francisco, CA 94143
Phone (415) 353-2000

400 Parnassus Ave
#300
San Francisco, CA 94143
Phone (415) 476-3131

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

Interoperability endpoints

  • Direct secure messaging: tbersot10474@direct-ucsfmedicalcenter.org

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184112000000",
    "number": "1205037629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 OWENS STREET",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941582261",
            "telephone_number": "415-734-2027",
            "fax_number": "415-355-0919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 POTRERO AVENUE",
            "address_2": "BLDG 30 RM 3501K",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103518",
            "telephone_number": "415-206-4615",
            "fax_number": "415-476-4918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERSOT",
        "first_name": "THOMAS",
        "middle_name": "POINTDEXTER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-31",
        "last_updated": "2007-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G26303",
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "G26303",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G263030",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.