Organization Active NPI

Berkeley Health Center

  • Primary Care Clinic/Center
  • Baytown, TX
National Provider Identifier
1770992109
Registry record updated Aug 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
BERKELEY HEALTH CENTER
Practice address
2802 Garth Rd
Suite 307
Baytown, TX 77521-3900
Phone
(985) 960-2575
Fax
(877) 631-2501
NPI assigned
Aug 11, 2014
Last updated
Aug 11, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2014

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

Authorized official

Name
Mrs. Angela Marie Jackson
Title
Owner
Phone
(985) 960-2575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

2802 Garth Rd
Suite 307
Baytown, TX 77521-3900

Mailing address

2802 Garth Rd
Suite 307
Baytown, TX 77521-3900
Phone (985) 960-2575

National Provider Directory

National Provider Directory

Locations

2802 Garth Rd
Ste 307
Baytown, TX 77521
Phone (832) 695-6904

NPI Registry JSON

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

{
    "created_epoch": "1407715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407715200000",
    "number": "1770992109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2802 GARTH RD",
            "address_2": "SUITE 307",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775213900",
            "telephone_number": "985-960-2575",
            "fax_number": "877-631-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2802 GARTH RD",
            "address_2": "SUITE 307",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775213900",
            "telephone_number": "985-960-2575",
            "fax_number": "877-631-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKELEY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-11",
        "last_updated": "2014-08-11",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-960-2575",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baytown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2014; 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.