David Berardelli

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

License

209-10982 Issued in TX

Practice address

16607 Blanco Road
Suite 303
San Antonio, TX 78232-1940

Phone

(361) 230-0466

Fax

(210) 493-9504

NPI assigned

Jan 8, 2010

Sex

Male

Sole proprietor

Yes

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.

• Mahaffey Orthotics & Prosthetics Inc

  • Prosthetic/Orthotic Supplier
  • Amarillo, TX
  • NPI 1073634127
  NPD

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 8, 2010.

{
    "created_epoch": "1262908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262908800000",
    "number": "1659601946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16607 BLANCO ROAD",
            "address_2": "SUITE 303",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321940",
            "telephone_number": "361-230-0466",
            "fax_number": "210-493-9504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16607 BLANCO ROAD",
            "address_2": "SUITE 303",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321940",
            "telephone_number": "361-230-0466",
            "fax_number": "210-493-9504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERARDELLI",
        "first_name": "DAVID",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-08",
        "last_updated": "2010-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "TX",
            "license": "209-10982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF ORTHOTISTS AND PROSTHECS LICENSE AND CONTROL #",
            "identifier": "209-10982",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD FOR ORTHOTISTS AND PROSTHISTS CERTIFICATION",
            "identifier": "C21287",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olivia Bera, BT
• Jihad Beram, MD
• Brandee Beran, PT
• Christopher Michael Louis Berard, PHARMD
• Destiney Berard, MS, CCC-SLP
• Andrea Berardi
• Laura Berardo
• Peter V Berardo, M.D.
• Julio Manuel Beras-Matos, MD
• John Anthony Berchelmann Jr., D.D.S.

• All providers in San Antonio, TX
• Prosthetics Case Management in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2010; 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.