Individual provider Active NPI

Anthony Berton

  • Podiatrist
  • Houston, TX
National Provider Identifier
1881378586
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
T-692040 Issued in TX
Practice address
12121 Richmond Ave Ste 417
Houston, TX 77082-2439
Phone
(281) 597-1630
Fax
(281) 597-9760
NPI assigned
Jun 13, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X T-692040 TX Primary

Addresses

Primary practice location

12121 Richmond Ave Ste 417
Houston, TX 77082-2439

Mailing address

12121 Richmond Ave Ste 417
Houston, TX 77082-2439
Phone (281) 597-1630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4101 Charlotte Ave
Suite F185
Nashville, TN 37209-3990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T-692040TXMDPodiatrist

NPI Registry JSON

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

{
    "created_epoch": "1686614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1881378586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12121 RICHMOND AVE STE 417",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770822439",
            "telephone_number": "281-597-1630",
            "fax_number": "281-597-9760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12121 RICHMOND AVE STE 417",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770822439",
            "telephone_number": "281-597-1630",
            "fax_number": "281-597-9760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTON",
        "first_name": "ANTHONY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-13",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "T-692040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.