DR. THEODORE B. BERNDT M.D. NPI 1154348100

NPI Information

NPI: 1154348100
Provider Name: DR. THEODORE B. BERNDT, M.D.
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

Address:
1155 MILL ST
RENO, NV
ZIP 89502
Phone: (775) 982-7878
Get Directions

DR. Theodore B. Berndt, M.D. is a cardiovascular disease internal medicine in Reno, NV. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DR. Theodore B. Berndt, M.D. NPI is 1154348100. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1155 MILL ST
RENO, NV
ZIP 89502-576
Phone: (775) 982-7878
Fax: (775) 982-4196

The enumeration date for this NPI number is 7/16/2006 and was last updated on 7/25/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	3191	NEVADA	Yes
2	207RC0000X	Internal Medicine	Cardiovascular Disease	G22670	CALIFORNIA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	11050642	OTHER		CAQH
2	XPY183369	MEDICAID	CALIFORNIA
3	VWCHKZ01	MEDICARE PIN	NEVADA
4	C95785	MEDICARE UPIN	NEVADA
5	002016077	MEDICAID	NEVADA
6	DG899A	MEDICARE PIN	NEVADA
7	110073355	MEDICARE PIN	NEVADA
8	CC2328	OTHER	NEVADA	BLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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