Bryan L. Berghout
Bryan L. Berghout is a healthcare organization registered as Foot & Ankle Surgery Podiatrist in San Clemente, CA, holding Type 2 (organization) NPI 1962566703 since 2006. The authorized official on file is Bryan Berghout, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1962566703 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Bryan L. Berghout |
| Practice address | 629 CAMINO DE LOS MARES STE 207, San Clemente, CA, 92673 |
| Phone | 9494335262 |
| Fax | 4252255458 |
| Enumeration date | 2006-12-19 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Bryan Berghout |
|---|---|
| Title | Owner |
| Phone | 9494335262 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 213ES0103X | Foot & Ankle Surgery Podiatrist | Primary | E4205 | CA |
Copy-ready billing details
Provider: Bryan L. Berghout NPI: 1962566703 Taxonomy: 213ES0103X (Foot & Ankle Surgery Podiatrist) Address: 629 CAMINO DE LOS MARES STE 207, San Clemente, CA, 92673
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1518047794 | Bryan L. Berghout, Dpm PC | Organization | Foot & Ankle Surgery Podiatrist | San Clemente, CA |
| 1053934687 | Anna Arya | Individual | Clinical Psychologist | San Clemente, CA |
| 1902790058 | Jennifer Keenen | Individual | Marriage & Family Therapist | San Clemente, CA |
Verify this record
Cross-check NPI 1962566703 against the authoritative CMS record: view Bryan L. Berghout on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Bryan L. Berghout?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.