Individual provider Active NPI

Dennis L. Berger, DPM

  • Podiatrist
  • West Lake Hills, TX
National Provider Identifier
1497805980
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0709 Issued in TX
Practice address
5656 Bee Caves Rd Ste D204
West Lake Hills, TX 78746-5236
Phone
(512) 447-2025
Fax
(512) 447-4968
NPI assigned
Jan 10, 2007
Last updated
Feb 22, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 0709 TX Primary

Addresses

Primary practice location

5656 Bee Caves Rd Ste D204
West Lake Hills, TX 78746-5236

Mailing address

5656 Bee Caves Rd Ste D204
West Lake Hills, TX 78746-5236
Phone (512) 447-2025

Other identifiers 2

IdentifierTypeStateIssuer
130178002MedicaidTX
00DG46OtherTXBCBS

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

State licenses

LicenseStateTypeSpecialty
0709TXMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Adult Care of Austin PA Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1497805980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5656 BEE CAVES RD STE D204",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465236",
            "telephone_number": "512-447-2025",
            "fax_number": "512-447-4968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5656 BEE CAVES RD STE D204",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465236",
            "telephone_number": "512-447-2025",
            "fax_number": "512-447-4968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGER",
        "first_name": "DENNIS",
        "middle_name": "L.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "0709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130178002",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00DG46",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lake Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; 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.