Bertha, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

BERTHA, LLC

Practice address

3850 E Baseline Rd Ste 117
Mesa, AZ 85206-4404

Phone

(480) 712-6663

NPI assigned

Aug 3, 2018

Organization subpart

No

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

Authorized official

Name

Corinne Kovac

Title

Manager

Phone

(480) 712-6663

Specialties & licenses 1

Addresses

Other names 1

• Four Peaks Pain Center Doing business as

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

{
    "created_epoch": "1533254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540252800000",
    "number": "1760960405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 E BASELINE RD STE 117",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064404",
            "telephone_number": "480-712-6663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 E BASELINE RD STE 117",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064404",
            "telephone_number": "480-712-6663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERTHA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-03",
        "last_updated": "2018-10-23",
        "status": "A",
        "authorized_official_last_name": "KOVAC",
        "authorized_official_first_name": "CORINNE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "480-712-6663"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Four Peaks Pain Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Lynn Berry, ACNP
• Richard Kent Berry, PT
• Tyler Berry, PT, DPT
• Munira Rafikovna Bershad
• Jamie N Bert, S.S.P., NCSP
• Armando Berumen
• Jennifer Berwanger
• David Bess, PHARMD
• Alina Bessett, BA, BHT
• Best Care Health Services Inc

• Ambulatory Surgical Clinic/Center in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Ambulatory Surgical Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; 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.