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Danielle Kusserow Bersabe

Internist General Practice Physician

2200 Bergquist Dr Wilford Hall Ambulatory Surgical Center
Lackland A F B , Texas 78236-9907

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Image

Danielle Kusserow Bersabe

Internist General Practice Physician

2200 Bergquist Dr Wilford Hall Ambulatory Surgical Center
Lackland A F B , Texas 78236-9907

Write a Review Save Call

Danielle Kusserow Bersabe

Internist General Practice Physician

2200 Bergquist Dr Wilford Hall Ambulatory Surgical Center
Lackland A F B , Texas 78236-9907

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Internist
  • General Practice Physician

Languages spoken

  • English

Location

2200 Bergquist Dr Wilford Hall Ambulatory Surgical Center Lackland A F B , Texas 78236-9907

First Address

  • Danielle Kusserow Bersabe
  • 2200 Berquist Dr Internal Medicine Clinic
  • Lackland Afb, TX
  • Zip : 78233
  • Phone :

Second Address

  • Danielle Kusserow Bersabe
  • 2200 Bergquist Dr Wilford Hall Ambulatory Surgical Center
  • Lackland A F B, TX
  • Zip : 78236-9907
  • Fax : (210) 292-7868
  • Phone : (210) 292-7805

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FAQs


Where did Danielle Kusserow Bersabe attend graduate school?

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Where did Danielle Kusserow Bersabe do her residency?

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Where did Danielle Kusserow Bersabe do her fellowship?

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Is Danielle Kusserow Bersabe board certified?

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What type of doctor is Danielle Kusserow Bersabe

Internist

In what state does Danielle Kusserow Bersabe practice in?

Texas

Where is Danielle Kusserow Bersabe ’s practice located?

2200 Bergquist Dr Wilford Hall Ambulatory Surgical Center , Lackland A F B, Texas, 78236-9907

What is Danielle Kusserow Bersabe ’s gender?

Female

Is Danielle Kusserow Bersabe a sole practitioner?

No

Is Danielle Kusserow Bersabe accepting new patients?

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What languages does Danielle Kusserow Bersabe speak?

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Does Danielle Kusserow Bersabe accept insurance?

Yes, Danielle Kusserow Bersabe accepts insurance

Does Danielle Kusserow Bersabe offers telemedicine?

Danielle Kusserow Bersabe has not indicated if she offers telemedicine

What is Danielle Kusserow Bersabe ’s professional license number?

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What is Danielle Kusserow Bersabe ’s NPI number?

1003177593

Does Danielle Kusserow Bersabe have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 207R00000X Internist 0101255839 VA
Y 111NI0900X Internist 0101255839 VA
N 208D00000X General Practice Physician 0101255839 VA

National Provider Identifier

NPI 1003177593
Provider Name Danielle Kusserow Bersabe
First Address Lackland Afb, TX 78233
Second Address Lackland A F B, TX 78236-9907
Gender F
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 31/05/2012
Last Update Date 07/10/2015

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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