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

Miss. Berkeley Fial, PA

Individual provider Physician Assistant · NPI 1124513981

Miss. Berkeley Fial, PA is a Physician Assistant in Boulder, Colorado. Qualified in 2018, 8 years ago. Practices with Integrated Dermatology of Boulder Creek LLC, a 5-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Colorado.

Years since qualifying
8
Licensed in
CA, CO
In the registry since
2018
Specialties on file
2
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

3575 Broadway St
Boulder, CO 80304-1825
Phone: (303) 449-0933
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3400 Calloway Dr Ste 200, Bakersfield, CA 93312-2513 — (661) 410-7546

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 6557 (CO)
Physician Assistant Taxonomy 363A00000X · Licence 55696 (CA)

Record details

NPI number1124513981
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 25, 2018
Last updated in NPPESSeptember 1, 2021
Certification dateSeptember 1, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Integrated Dermatology Of Boulder Creek Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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