Brendan J Berthold, RDMS

Primary specialty

Sonography Radiologic TechnologistTaxonomy code 2471S1302X

License

155899 Issued in AZ

Practice address

14791 E 54TH Dr
Yuma, AZ 85367-9210

Phone

(928) 276-5658

NPI assigned

Jan 23, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1548201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548201600000",
    "number": "1396209300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14791 E 54TH DR",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853679210",
            "telephone_number": "928-276-5658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14791 E 54TH DR",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853679210",
            "telephone_number": "928-276-5658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTHOLD",
        "first_name": "BRENDAN",
        "middle_name": "J",
        "credential": "RDMS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-23",
        "last_updated": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471S1302X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Sonography",
            "state": "AZ",
            "license": "155899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary L Berg, M.D.
• Christopher G Bermudez, PA-C
• Barton S Bernstein, M.D.
• Victoria E Berruecos, BSW
• Lynn Berry, FOSTER PARENT
• Amanda Marie Bertram, DNP
• Best Care Dental LLC (Picacho Dental Yuma)
• Best Healthcare LLC
• Beyond Behavior Arizona
• Vishnu V Bezwada, MBBS

• Sonography Radiologic Technologist in Yuma, AZ
• Providers in Yuma, AZ by specialty
• Sonography Radiologic Technologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.

Verify at the official NPI Registry.