Individual
DR. PETER V BERARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8401 DATAPOINT DR STE 600, SAN ANTONIO, TX 78229-5907
(210) 616-7700
(210) 616-7709
Mailing address
8401 DATAPOINT, SUITE 600, P. O. BOX 29441, SAN ANTONIO, TX 78229-0441
(210) 616-7796
(210) 616-7799
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
H9794
TX
2085R0202X
Diagnostic Radiology Physician
Primary
H9794
TX
2085U0001X
Diagnostic Ultrasound Physician
H9794
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174781-04
—
TX
05
—
117478105
—
TX
05
—
117478106
—
TX
01
—
8L26896
MEDICARE - STRIC
TX
01
—
H9794
TEXAS MEDICAL LICENSE
TX
01
—
P00829945
RAILROAD MEDICARE
TX
01
—
P00845675
RAILROAD MEDICARE
TX
Enumeration date
12/22/2005
Last updated
03/24/2016
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