Wade Scott Berger, MBA, CCP, SA-C
Perfusionist in San Antonio, TX. Individual provider (NPI-1).
NPI number1922354539
StatusActive
Last updated in NPPESJan 4, 2021
Details
- NPI
- 1922354539
- Entity type
- Individual (NPI-1)
- Name
- Wade Scott Berger
- Credential
- MBA, CCP, SA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 1, 2012
- Certification date
- Jan 4, 2021
- Last updated
- Jan 4, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 242T00000X | Perfusionist | FPF00001162 | TX | Yes |
| 246ZC0007X | Specialist/Technologist, Other, Surgical Assistant | 15593 | TX |
Practice location
2203 Woodmen DrSan Antonio, TX 78209-4278
Phone 979-743-0508
Mailing address
2203 Woodmen DrSan Antonio, TX 78209-4278
Phone 979-743-0508
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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