Physician Compare National (NPI:1114132099)

HEALTHCARE PROVIDER: CINDY NOEL BERTHELOT M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1114132099
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5092987222
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20111013000083
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BERTHELOT
	Individual professional last name
Provider First Name	CINDY
	Individual professional first name
Provider Middle Name	N
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
	Individual professional's medical school
Graduation Year	2006
	Individual professional's medical school graduation year
Primary Specialty	DERMATOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	2565 BAY AREA BLVD
	Group Practice or individual's line 1 address
City	HOUSTON
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	770581521
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y