Lawrence R Berg, ENP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP112512 Issued in TX

Practice address

10130 Louetta Rd Ste L
Houston, TX 77070-2118

Phone

(346) 808-3670

NPI assigned

Jul 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Brazos Emergency Physicians, PA

  • Emergency Medicine Physician
  • Houston, TX
  • NPI 1205948635
  NPD (past)
• Emcare-Dtxemergency Physicians PLLC

  • Emergency Medicine Physician
  • Dallas, TX
  • NPI 1285709600
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1760416663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18514 MELLOWGROVE LN",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773794062",
            "telephone_number": "281-703-6031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10130 LOUETTA RD STE L",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770702118",
            "telephone_number": "346-808-3670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Medical Pkwy",
            "address_purpose": "LOCATION",
            "city": "Brenham",
            "state": "TX",
            "postal_code": "778335413",
            "country_code": "US",
            "telephone_number": "979-836-6173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERG",
        "first_name": "LAWRENCE",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "ENP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP112512",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP112512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashkan Berenji, DO
• Donovan Patrick Berens, MD
• John Berens, MD
• Kevin P Beres, D.O.
• Erin Nicole Berezowsky, PA-C
• Sheryl Swofford Berg, M.A.,CCC SLP
• Stacey Berg, MD
• Eyda Berganza, MSN, APRN, FNP-C
• Heather Dawn Bergara, COTA
• Marion Wanjiru Bergbauer, CRNA

• All providers in Houston, TX
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.