Bradley R Berg, MD | |
425 University Blvd, Round Rock, TX 78665-1053 | |
(512) 509-0200 | |
(512) 218-6330 |
Full Name | Bradley R Berg |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 425 University Blvd, Round Rock, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871589929 | NPI | - | NPPES |
263645 | Other | WA | LABOR & INDUSTRIES |
8371452 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD00043078 (Washington) | Secondary |
208000000X | Pediatrics | N5567 (Texas) | Primary |
Entity Name | Scott & White Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093779704 PECOS PAC ID: 8123923604 Enrollment ID: O20031223000640 |
Mailing Address | Practice Location Address |
---|---|
Bradley R Berg, MD Po Box 844658, Dallas, TX 75284-4658 Ph: (254) 724-2111 | Bradley R Berg, MD 425 University Blvd, Round Rock, TX 78665-1053 Ph: (512) 509-0200 |
Debaroti M Addy, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 15930 S Great Oaks Dr, Building B, Round Rock, TX 78681 Phone: 512-255-8868 Fax: 512-255-8869 | |
Johelin F De Freitas Hernandez, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 425 University Blvd, Round Rock, TX 78665 Phone: 512-509-0200 Fax: 512-509-0285 | |
Edgar Noe Navarro Garza, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 505 W Louis Henna Blvd, Ste 100, Round Rock, TX 78728 Phone: 855-481-8375 Fax: 512-788-5819 | |
Samantha Dieterich, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 University Blvd, Round Rock, TX 78664 Phone: 512-509-0203 | |
Trevor Turner, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 7200 Wyoming Spgs, Suite #1500, Round Rock, TX 78681 Phone: 512-218-8696 Fax: 512-218-9532 | |
Dr. Rafael A De Haro, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7200 Wyoming Spgs Ste 200, Round Rock, TX 78681 Phone: 512-244-5959 Fax: 512-244-1156 | |
Dr. Meenu Singh Bhatti, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3950 N A W Grimes Blvd, Suite N201, Round Rock, TX 78665 Phone: 512-868-1124 Fax: 512-863-6643 |