Derek Berta

NPI 1114572716 · on the registry since 2019

Practice

Address: 2860 Channing Way Ste 220
Idaho Falls, ID 83404
Phone: (208) 800-6155
Fax: (208) 800-6158
Organisation at this address: William Wilson Md Pc
Teton Plastic Surgery
R.K. Arbon, M.D., P.A.
Aesthetic Concepts Llc
Mueller Care Center, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 20

Registry record

Primary taxonomy: 363A00000X
363A00000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-03-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho