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BRYAN L. BERGHOUT
NPI 1962566703
Podiatrist - Foot & Ankle Surgery in San Clemente, CA

Active since December 19, 2006
629 CAMINO DE LOS MARES STE 207, SAN CLEMENTE, CA 92673(949) 433-5262(425) 225-5458 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bryan L. Berghout NPPES

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

BRYAN L. BERGHOUT (NPI 1962566703) is a healthcare organization registered as a foot & ankle surgery in San Clemente, California and active in the NPI registry since December 2006. The organization lists Bryan Leonard Berghout, Owner, as its authorized official.

NPPES Registry Identity

NPI1962566703
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameBRYAN L. BERGHOUT
Location Address629 CAMINO DE LOS MARES STE 207San Clemente, CA 92673-2832
Mailing Address3600 158th Pl SeBothell, WA 98012-4750 · (949) 433-5262 · Fax (425) 225-5458
Phone(949) 433-5262
Fax(425) 225-5458
Organization SubpartNo
Authorized OfficialBryan Leonard BerghoutOwner · (949) 433-5262
Enumeration DateDecember 19, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1962566703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in CA · E4205
629 CAMINO DE LOS MARES STE 207, San Clemente, CA 92673
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

ANNA HILLER ARYA PSYD
Psychologist (Clinical)
629 CAMINO DE LOS MARES STE 207
SAN CLEMENTE, CA 92673
Orange County (949) 228-9080
BRYAN L. BERGHOUT, DPM PC
Podiatrist (Foot & Ankle Surgery)
629 CAMINO DE LOS MARES STE 207
SAN CLEMENTE, CA 92673
Orange County (949) 433-5262
JENNIFER L KEENEN MA, AMFT
Marriage & Family Therapist
629 CAMINO DE LOS MARES STE 207
SAN CLEMENTE, CA 92673
Orange County (760) 683-1924

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 Bryan L. Berghout's NPI number?

The NPI number for Bryan L. Berghout is 1962566703. It was assigned to this organization in the NPPES registry on December 19, 2006.

Where is Bryan L. Berghout located?

Bryan L. Berghout is located at 629 Camino De Los Mares Ste 207, San Clemente, CA 92673. The listed phone number is (949) 433-5262.

What is Bryan L. Berghout's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Bryan L. Berghout was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.