Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeffrey Scott Berthot, PA

Individual provider Physician Assistant · NPI 1932294550

Jeffrey Scott Berthot, PA is a Physician Assistant in Nacogdoches, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

4800 NE Stallings Dr Ste 110
Nacogdoches, TX 75965-1249
Phone: (936) 569-9443
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA04204 (TX)

Record details

NPI number1932294550
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedOctober 3, 2006
Last updated in NPPESJune 2, 2010
Mailing address4800 Ne Stallings Dr, Suite 110, Nacogdoches, TX 75965-1249

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