MS. BONNIE LYNN BERUBE MS, RD, LD
NPI 1275802803
Dietitian, Registered in Houston, TX

Active since December 28, 2011
1425 BLALOCK RD, SUITE 107, HOUSTON, TX 77055(713) 785-6481(713) 785-7200 Get Directions Write a Review

NPPES record last updated: December 28, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Bonnie Lynn Berube Ms, Rd, Ld NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. BONNIE LYNN BERUBE MS, RD, LD (NPI 1275802803) is an individual dietitian, registered in Houston, Texas, licensed in Texas (DT00673) and active in the NPI registry since December 2011.

NPPES Registry Identity

NPI1275802803
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMS. BONNIE LYNN BERUBECredential: MS, RD, LD
Location Address1425 BLALOCK RD, SUITE 107Houston, TX 77055-4475
Mailing Address1425 Blalock Rd, Suite 107Houston, TX 77055-4475 · (713) 785-6481 · Fax (713) 785-7200
Fax(713) 785-7200
Sole ProprietorYes
Enumeration DateDecember 28, 2011
✔ NPI 1275802803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in TX · DT00673
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
1425 BLALOCK RD, Houston, TX 77055

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Bonnie Lynn Berube Ms, Rd, Ld is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Bonnie Berube reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Multi-Specialty
460 PARK GROVE DR
Katy, TX 77450
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Balance Family Medicine, Lllp
  • 6 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1425 BLALOCK RD, STE 100
HOUSTON, TX 77055
Dietitian, Registered
1425 BLALOCK RD, SUITE 107
HOUSTON, TX 77055

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bonnie Berube's NPI number?

The NPI number for Bonnie Berube is 1275802803. It was assigned to this individual provider in the NPPES registry on December 28, 2011.

Where is Bonnie Berube located?

Bonnie Berube practices at 1425 Blalock Rd Suite 107, Houston, TX 77055. The listed phone number is (713) 785-6481.

What is Bonnie Berube's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Bonnie Berube enrolled in Medicare?

Yes. Bonnie Berube is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Bonnie Berube's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bonnie Berube reassigns Medicare benefits to Balance Family Medicine, PLLC (Katy, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bonnie Berube's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bonnie Berube accept?

Health plans from Blue Cross and Blue Shield of Texas list Bonnie Berube as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bonnie Berube was last updated on December 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.