Blue Door Therapeutics

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

31260 Issued in AZ

Legal business name

BLUE DOOR THERAPEUTICS

Practice address

10900 N Scottsdale Rd
Suite 609
Scottsdale, AZ 85254-5216

Phone

(602) 380-5757

NPI assigned

Feb 1, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Gina M Berman, M.D.NPI 1740207190

Title

Ceo

Phone

(602) 380-5757

Specialties & licenses 4

Addresses

Locations

Practitioners 1

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

• Gina Mecagni Berman, M.D.

  • Emergency Medicine Physician
  • Scottsdale, AZ
  • NPI 1740207190
  NPD (past) Authorized official

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

{
    "created_epoch": "1485907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485907200000",
    "number": "1568900355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7272 E INDIAN SCHOOL RD",
            "address_2": "STE 540",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852513921",
            "telephone_number": "602-380-5757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10900 N SCOTTSDALE RD",
            "address_2": "SUITE 609",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852545216",
            "telephone_number": "602-380-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE DOOR THERAPEUTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-01",
        "last_updated": "2017-02-01",
        "status": "A",
        "authorized_official_last_name": "BERMAN",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-380-5757",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC14265",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "03739",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "31260",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "3111",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindi G Bloomenstein, PT
• Rainey Little Bloomquist, DNP
• Blossom ABA LLC
• Blossom Park, LLC
• Blue Cactus Neurology
• Blue Horizon Behavioral Health LLC
• Blue Jay Trans, LLC
• Blue Manitou Inc
• Blue Sky Physical Therapy & Wellness, LLC
• Bluestone Therapy LLC

• Emergency Medicine Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Emergency Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2017; 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.