Active NPI
Christopher Berlioz, D.O.
- Pediatrics Physician
- Laredo, TX
National Provider Identifier
1396129409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- R6975
- Practice address
- 10710 McPherson Rd Ste 101
Laredo, TX 78045 - Phone
- (956) 724-7145
- Fax
- (956) 724-4944
- NPI assigned
- Jul 17, 2015
- Sex
- Male
- 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 | R6975 | TX | Primary |
Addresses
Primary practice location
10710 McPherson Rd Ste 101
Laredo, TX 78045
Mailing address
810 Fenwick Dr
Laredo, TX 78041-2877
Phone (956) 286-4265
Other practice location 1
10710 McPherson Rd Ste 100
Laredo, TX 78045-6363
Phone (956) 724-4822
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 384974701 | Medicaid | TX | |
| 384974702 | Medicaid | TX |
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R6975 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christopher Berlioz DO PA | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- christopherberliozdo@safaripediatrics.opdirect.net
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Laredo, TX
- NPI 1386121093
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546905600000",
"number": "1396129409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "810 FENWICK DR",
"city": "LAREDO",
"state": "TX",
"postal_code": "780412877",
"telephone_number": "956-286-4265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10710 MCPHERSON RD STE 101",
"city": "LAREDO",
"state": "TX",
"postal_code": "78045",
"telephone_number": "956-724-7145",
"fax_number": "956-724-4944"
}
],
"practiceLocations": [
{
"address_1": "10710 McPherson Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Laredo",
"state": "TX",
"postal_code": "780456363",
"country_code": "US",
"telephone_number": "956-724-4822",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERLIOZ",
"first_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-17",
"last_updated": "2019-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "R6975",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "384974701",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "384974702",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Laredo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.