BERTHA LLC NPI 1760960405

NPI Information

  • NPI: 1760960405
  • Provider Name: BERTHA, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: FOUR PEAKS PAIN CENTER
  • Address: 3850 E BASELINE RD STE 117
    MESA, AZ
    ZIP 85206
  • Phone: (480) 712-6663

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NPI Details

BERTHA, LLC is an ambulatory surgical clinic center in Mesa, AZ. BERTHA, LLC NPI is 1760960405. The provider is registered as an organization entity type.
The provider Is Doing Business As Four Peaks Pain Center.

The provider's business location address is:

3850 E BASELINE RD STE 117
MESA, AZ
ZIP 85206-404
Phone: (480) 712-6663

The provider's authorized official is Corinne Kovac .
The authorized official title is Manager and has the following contact phone number (480) 712-6663.

The enumeration date for this NPI number is 8/3/2018 and was last updated on 10/23/2018.

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
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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: 11/21/2025

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