Organization Active NPI

Berg & Minigutti, PLLC

  • Health Service Clinic/Center
  • Frisco, TX
National Provider Identifier
1376911545
Registry record updated Jun 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
BERG & MINIGUTTI, PLLC
Practice address
4280 Main St
Ste 200
Frisco, TX 75033-3080
Phone
(972) 464-2510
Fax
(214) 705-1379
NPI assigned
Sep 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2017

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

Authorized official

Name
Mrs. Rachael Teer, NRCMA
Title
Practice Manager
Phone
(972) 464-2510

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X L3756 TX
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X N0643 TX
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

4280 Main St
Ste 200
Frisco, TX 75033-3080

Mailing address

4280 Main St
Ste 200
Frisco, TX 75033-3080
Phone (972) 464-2510

Other names 1

  • WEST FRISCO HEALTH AND WELLNESS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160216001234 TX Part B Supplier - Clinic/Group Practice 3678878477 Receives reassigned benefits from 17 practitioners
Practice locations: Celina, TX; Frisco, TX; McKinney, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2102382Berg & Minigutti Dba West- Frisco Health &Wellness4280 Main Street Suite 200, Frisco, TX 75033Certificate of waiverSep 21, 2027

National Provider Directory

National Provider Directory

Locations

8000 Eldorado Pkwy
Bldg D
McKinney, TX 75070
Phone (972) 464-2510

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1441324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497916800000",
    "number": "1376911545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4280 MAIN ST",
            "address_2": "STE 200",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750333080",
            "telephone_number": "972-464-2510",
            "fax_number": "214-705-1379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4280 MAIN ST",
            "address_2": "STE 200",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750333080",
            "telephone_number": "972-464-2510",
            "fax_number": "214-705-1379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERG & MINIGUTTI, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-04",
        "last_updated": "2017-06-20",
        "status": "A",
        "authorized_official_last_name": "TEER",
        "authorized_official_first_name": "RACHAEL",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "972-464-2510",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NRCMA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L3756",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N0643",
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WEST FRISCO HEALTH AND WELLNESS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.