DR. SUE ANN BEREND


Address: 656 Fall Wood Trl, Fort Worth, TX 76131-3223
Phone: 5056908357

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 170100000X Medical Genetics, Ph.D. Medical Genetics DI38592 FL Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY DEPT. OF HEALTH BERES1 01
CA DEPT. OF HEALTH SERVICES DRM42 01
FL DEPT. OF HEALTH DI38592 01

Office Location

Street Address 656 FALL WOOD TRL
City FORT WORTH
State TX
Zip Code 76131-3223

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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
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Taxonomy Information

Taxonomy Code 170100000X
Grouping Other Service Providers
Classification Medical Genetics, Ph.D. Medical Genetics

Taxonomy Definition

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.

Providers in the same taxonomy and state

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
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Competitor

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City FORT WORTH
Zip Code 76131

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Dataset Information

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.

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