DR. SUE ANN BEREND (NPI# 1043403231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043403231 |
Entity Type | Individual |
Full Name | DR. SUE ANN BEREND |
Credential | PH.D. |
Practice Address |
656 Fall Wood Trl Fort Worth TX 76131-3223 |
Practice Telephone | 5056908357 |
Mailing Telephone | 5056908357 |
Enumeration Date | 2007-08-22 |
Last Update Date | 2015-12-03 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 170100000X | Medical Genetics, Ph.D. Medical Genetics | DI38592 | FL | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | DEPT. OF HEALTH | BERES1 | 01 |
CA | DEPT. OF HEALTH SERVICES | DRM42 | 01 |
FL | DEPT. OF HEALTH | DI38592 | 01 |
Street Address |
656 FALL WOOD TRL |
City | FORT WORTH |
State | TX |
Zip Code | 76131-3223 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497390686 | Chigane Abraham | Nurse Practitioner | 8609 Glenburne Dr, Fort Worth, TX 76131 | 2019-11-12 |
1578056016 | Anna Spencer | Dentist | 608 E Bailey Boswell Rd Ste 100, Saginaw, TX 76131 | 2018-06-10 |
1396010096 | Samuel H. Davis Md Pa | Pediatrics | 604 E. Bailey Boswell, Suite 140, Saginaw, TX 76131 | 2012-03-13 |
1326358961 | Chad A. Curlee, D.o., P.a. | Family Medicine | 2720 Western Center Blvd, Suite 312, Fort Worth, TX 76131 | 2010-10-18 |
1184937302 | Hemanth Sahukar | Dentist | 7260 Blue Mound Rd Ste 148, Fort Worth, TX 76131 | 2010-07-16 |
1427207174 | Er Dental Pllc | Dentist | 2700 Western Center Blvd, Suite 128, Fort Worth, TX 76131 | 2008-09-17 |
1295956787 | Michael Robert Jarrard | Preventive Medicine | Bnsf Railway, 2500 Lou Menk Dr Aob-gl, Fort Worth, TX 76131 | 2007-05-01 |
1578692349 | Gail Ann Hollar | Dentist | 2700 Western Center Blvd., #128, Fort Worth, TX 76131 | 2007-03-05 |
1588869036 | Blue Mound Volunteer Fire Department | Emergency Medical Technician, Basic | 301 S Blue Mound Rd, Blue Mound, TX 76131-1030 | 2007-06-15 |
1114987294 | Ronald Richard Redden | Specialist/Technologist | 800 N Blue Mound Rd, Saginaw, TX 76131-1052 | 2006-03-24 |
Find all providers in zip 76131 |
Taxonomy Code | 170100000X |
Grouping | Other Service Providers |
Classification | Medical Genetics, Ph.D. Medical Genetics |
A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists. |
Notes: A general certificate was first issued by ABMS in 1982. ACGME Accredited Residency Program Requirements: None. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427675727 | Xander Wehrens | Medical Genetics, Ph.D. Medical Genetics | 1 Baylor Plz # Bcm335, Houston, TX 77030-3498 | 2020-07-02 |
1740771617 | Estrella Lizbeth Mellin Sanchez | Medical Genetics, Ph.D. Medical Genetics | 4150 Crosspoint Blvd., Edinburg, TX 78539 | 2018-05-25 |
1235508086 | Paul Goldstein | Medical Genetics, Ph.D. Medical Genetics | 816 Agua Caliente Dr, El Paso, TX 79912-1738 | 2015-09-23 |
1003099235 | Advanced Wellness Group Inc | Medical Genetics, Ph.D. Medical Genetics | 2705 E Quinlan Pkwy, Quinlan, TX 75474-8688 | 2007-12-11 |
1962603217 | Ronald Harry Kerman | Medical Genetics, Ph.D. Medical Genetics | Univ Texas Med Schl - Dept of Surgery, 6431 Fannin ( Msb 6.246 ), Houston, TX 77030-1501 | 2007-05-31 |
1174724900 | Antoinette Marie Vandeputte | Medical Genetics, Ph.D. Medical Genetics | 401 Gladys Ave, El Paso, TX 79915-3805 | 2007-05-30 |
1093916785 | Charles D. Kennard Md Pa | Medical Genetics, Ph.D. Medical Genetics | 811 Interstate 20 W Suite G14, Arlington, TX 76017 | 2007-05-30 |
1568682805 | Genetic & Developmental Center of Sw,pa | Medical Genetics, Ph.D. Medical Genetics | 801 E Border St, L., Arlington, TX 76010-7494 | 2007-04-27 |
1124175971 | Hydro-vascular Profiles, Inc. | Medical Genetics, Ph.D. Medical Genetics | 5010 Lakeland Cir Ste B, Waco, TX 76710-2981 | 2007-01-04 |
1992869846 | St Hope Foundation Inc | Medical Genetics, Ph.D. Medical Genetics | 14815 Southwest Fwy, Sugar Land, TX 77478-5016 | 2006-12-21 |
Find all providers with the same taxonomy |
City | FORT WORTH |
Zip Code | 76131 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.