JEFFREY SCOTT BERTHOT P.A.
NPI 1932294550
Physician Assistant in Nacogdoches, TX

Active since October 03, 2006
4800 NE STALLINGS DR, SUITE 110, NACOGDOCHES, TX 75965(936) 569-9443 Get Directions Write a Review

NPPES record last updated: June 2, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jeffrey Scott Berthot P.a. NPPES

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

JEFFREY SCOTT BERTHOT P.A. (NPI 1932294550) is an individual physician assistant in Nacogdoches, Texas, licensed in Texas (PA04204) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1932294550
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJEFFREY SCOTT BERTHOTCredential: P.A.
Location Address4800 NE STALLINGS DR, SUITE 110Nacogdoches, TX 75965-1249
Mailing Address4800 Ne Stallings Dr, Suite 110Nacogdoches, TX 75965-1249 · (936) 569-9443
Sole ProprietorYes
Enumeration DateOctober 3, 2006
Last NPPES UpdateJune 2, 2010
NPI 1932294550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in TX · PA04204
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

4800 NE STALLINGS DR, Nacogdoches, TX 75965

Other Identifiers 3

Medicare ID-Type Unspecified8D1714TX
Medicare PIN8K9359TX
Medicare UPINQ35657TX

Other Providers at the Same Location NPPES 19

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

Internal Medicine (Cardiovascular Disease)
4800 NE STALLINGS DR, SUITE 115
NACOGDOCHES, TX 75965
Obstetrics & Gynecology
4800 NE STALLINGS DR, SUITE 106
NACOGDOCHES, TX 75965
Obstetrics & Gynecology
4800 NE STALLINGS DR, SUITE 106
NACOGDOCHES, TX 75965
Prosthetic/Orthotic Supplier
4800 NE STALLINGS DR, STE. 1600
NACOGDOCHES, TX 75965
Urology
4800 NE STALLINGS DR, SUITE 114
NACOGDOCHES, TX 75965
Thoracic Surgery (Cardiothoracic Vascular Surgery)
4800 NE STALLINGS DR, SUITE 1600
NACOGDOCHES, TX 75965
Nurse Practitioner (Family)
4800 NE STALLINGS DR
NACOGDOCHES, TX 75965
Family Medicine
4800 NE STALLINGS DR, STE 109
NACOGDOCHES, TX 75965

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 Jeffrey Berthot's NPI number?

The NPI number for Jeffrey Berthot is 1932294550. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Jeffrey Berthot located?

Jeffrey Berthot practices at 4800 NE Stallings Dr Suite 110, Nacogdoches, TX 75965. The listed phone number is (936) 569-9443.

What is Jeffrey Berthot's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Jeffrey Berthot was last updated on June 2, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.