BERKLEY WELLNESS LLC
NPI 1346099074
Clinic/Center in Breckenridge, TX
- Organization
- Clinic/Center
- Accepts Insurance
- CLIA Number: 45D2336311
- CLIA Cert. Type: Practitioner Other
- CLIA Exp. Date: 12-29-2027
About BERKLEY WELLNESS LLC
This page provides the complete NPI Profile along with additional information for Berkley Wellness Llc, a provider established in Breckenridge, Texas operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1346099074 assigned on May 2024. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Cortney Berkley Pmhnp-bc, Fnp-c (Owner)
- NPI
- 1346099074 Verify this NPI
- Provider Name
- BERKLEY WELLNESS LLC
- Entity Type
- Organization
- Location Address
- 102 E 6TH ST BRECKENRIDGE, TX 76424
- Location Phone
- (254) 212-8014
- Location Fax
- (254) 212-8006
- Mailing Address
- 102 E 6TH ST BRECKENRIDGE, TX 76424
- Mailing Phone
- (254) 212-8014
- Mailing Fax
- (254) 212-8006
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-15-2024
- Last Update Date
- 05-15-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363LP0808X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Blue Advantage Plus Gold? 803 - POS
- Blue Advantage Plus Gold? Standard - POS
- Blue Advantage Plus Silver? 202 - POS
- Blue Advantage Plus Silver? 605 - POS
- Blue Advantage Plus Silver? Standard - POS
- Blue Advantage Security HMO? 200 - HMO
- Blue Advantage Silver HMO? 205 - HMO
- Blue Advantage Silver HMO? 801 - HMO
- Blue Advantage Silver HMO? Standard - HMO
- MyBlue Health Bronze? 402 - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 45D2336311
- Facility Type
- Practitioner Other
- Certificate Effective Date
- December 30, 2025
- Certificate Expiration Date
- December 29, 2027
- Laboratory Director
- CORTNEY R. BERKLEY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Berkley Wellness Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
BRECKENRIDGE, TX 76424
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1346099074, enumerated as an "organization" on May 15, 2024.
The provider is located at 102 E 6TH ST BRECKENRIDGE, TX 76424 and the phone number is (254) 212-8014.
Clinic/Center with taxonomy code 261Q00000X.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas. Please consult your insurance carrier or call the provider to verify.
