Bryan Leonard Berghout, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

2124 Issued in NV

Practice address

10561 Jeffreys St Ste 110
Henderson, NV 89052-4267

Phone

(702) 456-3668

NPI assigned

Oct 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA, UT2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Podiatry

Education

California School of Podiatric Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ryan K Anderson D P M P C 51 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles (8 of 10)

Locations

Networks

• UT PPO
• UT PPO D-SNP

Interoperability endpoints

• Direct secure messaging: allevioutah.bryanberghout@161802.advancedmd-direct.com
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Ryan K Anderson D P M P C

  • Foot & Ankle Surgery Podiatrist
  • Bountiful, UT
  • NPI 1639200215

  Foot & Ankle Surgery, UT

  Medicare reassignment Care Compare group NPD
• Eastern Podiatry PLLC

  • Podiatrist
  • Lynnwood, WA
  • NPI 1104692219

  WA

  Medicare reassignment NPD
• Innovation Medical Group PC

  • Podiatrist
  • Salt Lake City, UT
  • NPI 1235526682

  Foot & Ankle Surgery, UT

  Medicare reassignment NPD
• Northwest Foot and Ankle Physicians and Surgeons, LLC

  • Podiatrist
  • Everett, WA
  • NPI 1477640779

  WA

  Medicare reassignment NPD
• Bryan L. Berghout, DPM PC

  • Foot & Ankle Surgery Podiatrist
  • San Clemente, CA
  • NPI 1518047794

  Foot & Ankle Surgery

  NPD (past) Authorized official
• Ryan K Anderson D P M P C

  • Foot & Ankle Surgery Podiatrist
  • Las Vegas, NM
  • NPI 1700237278
  Care Compare group
• Mountain West Podiatry LLC

  • Podiatrist
  • Centerville, UT
  • NPI 1235855669

  Foot & Ankle Surgery

  NPD (past)
• Taylor G Wright PC

  • Podiatrist
  • Layton, UT
  • NPI 1528765575

  Foot & Ankle Surgery

  NPD (past)
• Utah Podiatric Physicians and Surgeons Group LLC

  • Podiatrist
  • Salt Lake City, UT
  • NPI 1720795586

  Foot & Ankle Surgery

  NPD (past)

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1255411419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 845038",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900845038",
            "telephone_number": "415-645-4525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10561 JEFFREYS ST STE 110",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524267",
            "telephone_number": "702-456-3668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "965 E 700 S",
            "address_purpose": "LOCATION",
            "city": "Saint George",
            "state": "UT",
            "postal_code": "847904082",
            "country_code": "US",
            "telephone_number": "735-775-2324",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10821 19th Ave SE",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982085103",
            "country_code": "US",
            "telephone_number": "425-337-7000",
            "fax_number": "425-338-2408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERGHOUT",
        "first_name": "BRYAN",
        "middle_name": "LEONARD",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NV",
            "license": "2124",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WA",
            "license": "PO00000813",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8484388",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beraldo a Vazquez Correa MD LTD
• Matthew Edward Berdiago, DPT
• Donna J Beren, NURSE PRACTITIONER
• Bridget Babcock Bereznak
• Denise Berger
• Andrea R Bergquist
• Larson Bergquist
• Adam S. Berkovits, D.O.
• Alyssa Berlien, OTD
• Ashley Berlin

• All providers in Henderson, NV
• Foot & Ankle Surgery Podiatrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.