Individual provider Active NPI

Berkley Drew Ginithan, FNP-C

  • Family Nurse Practitioner
  • Saginaw, TX
National Provider Identifier
1447095963
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1164644 Issued in TX
Practice address
7236 Blue Mound Rd Ste 100
Saginaw, TX 76131-8829
Phone
(817) 386-4505
NPI assigned
Jun 26, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1164644 TX Primary

Addresses

Primary practice location

7236 Blue Mound Rd Ste 100
Saginaw, TX 76131-8829

Mailing address

5108 Austin Ridge Dr
Fort Worth, TX 76179-7138
Phone (210) 636-5406

Other practice location 1

2122 Rufe Snow Dr
Keller, TX 76248-4064
Phone (817) 576-4050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241022004860 TX Practitioner - Nurse Practitioner 7719410216 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1164644TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors for a Better Tomorrow PLLC Family Medicine CurrentSince Aug 9, 2024 Accepting new patients

Locations

2122 Rufe Snow Dr
Keller, TX 76248
Phone (817) 576-4050

2122 Rufe Snow Dr
Ste 132
Keller, TX 76248
Phone (817) 576-4050

7236 Blue Mound Rd
Ste 100
Saginaw, TX 76131
Phone (817) 386-4505

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.

NPI Registry JSON

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

{
    "created_epoch": "1719360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1447095963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5108 AUSTIN RIDGE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761797138",
            "telephone_number": "210-636-5406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7236 BLUE MOUND RD STE 100",
            "city": "SAGINAW",
            "state": "TX",
            "postal_code": "761318829",
            "telephone_number": "817-386-4505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2122 Rufe Snow Dr",
            "address_purpose": "LOCATION",
            "city": "Keller",
            "state": "TX",
            "postal_code": "762484064",
            "country_code": "US",
            "telephone_number": "817-576-4050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GINITHAN",
        "first_name": "BERKLEY",
        "middle_name": "DREW",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-26",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1164644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, TX

Sources for this page

Verify at the official NPI Registry.