BERKELEY UROLOGICAL ASSOCIATES A MEDICAL GROUP INC. FKA LYON
NPI 1992872410
Urology - Pediatric Urology in Berkeley, CA

Q: What is the provider's specialty?

The provider's specialty is Urology with taxonomy code 2088P0231X and a focus in Pediatric Urology.

Active since November 29, 2006

2999 REGENT ST, #612, BERKELEY, CA 94705(510) 848-1733(510) 848-8224 Get Directions Write a Review

NPPES record last updated: March 12, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Berkeley Urological Associates A Medical Group Inc. Fka Lyon NPPES

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

BERKELEY UROLOGICAL ASSOCIATES A MEDICAL GROUP INC. FKA LYON (NPI 1992872410) is a healthcare organization registered as a pediatric urology in Berkeley, California and active in the NPI registry since November 2006. The organization lists Tina M Bettencourt, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1992872410

Entity TypeOrganization

Primary Taxonomy2088P0231X

Legal Business NameBERKELEY UROLOGICAL ASSOCIATES A MEDICAL GROUP INC. FKA LYON

Location Address2999 REGENT ST, #612Berkeley, CA 94705-2146

Mailing Address2999 Regent St, Suite 612Berkeley, CA 94705-2190 · (510) 848-1733 · Fax (510) 848-8224

Phone(510) 848-1733

Fax(510) 848-8224

Organization SubpartNo

Authorized OfficialTina M BettencourtPractice Administrator · (510) 848-1733

Enumeration DateNovember 29, 2006

Last NPPES UpdateMarch 12, 2009

✔ NPI 1992872410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrology · Pediatric UrologyAllopathic & Osteopathic Physicians

Taxonomy Code2088P0231X

Definition

Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).

2999 REGENT ST, Berkeley, CA 94705

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Other Identifiers 2

Medicare ID-Type UnspecifiedZZZ17211ZCA

MedicaidYYY49005YCA

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