NPI 1255411419 · live from the CMS NPI Registry
Bryan Leonard Berghout, DPM
Podiatrist, Foot & Ankle Surgery in Henderson, NV. National Provider Identifier 1255411419, active.
NPI record
| NPI | 1255411419 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 10561 Jeffreys St Ste 110, Henderson, NV 89052 |
| Practice phone | 702-456-3668 |
| Mailing address | Po Box 845038, Los Angeles, CA 90084 |
| Enumerated | October 16, 2006 |
| Last updated | July 7, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | 2124 (NV) |
| Podiatrist, Foot & Ankle Surgery | 213ES0103X | PO00000813 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.