Carlos Eugenio Berry, M.D.
Individual provider Active NPI Psychiatry Physician · Tuscaloosa, AL
NPI 1003883448 · NPPES record last updated Dec 28, 2012
Key facts
- NPI
- 1003883448
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 23296 (AL)
- Practice address
- 3701 Loop Rd
Tuscaloosa VA Medical Center
Tuscaloosa, AL 35404-5015 - Phone
- (205) 554-2822
- NPI assigned
- Mar 3, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23296 | AL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Windmoor Healthcare Inc | Psychiatry | Current |
Accepting new patients |
Locations
11300 US Highway 19 N
Clearwater, FL 33764
Phone (727) 541-2646
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 23296 | AL | Yes |
Addresses
Primary practice location
3701 Loop Rd
Tuscaloosa VA Medical Center
Tuscaloosa, AL 35404-5015
Mailing address
3701 Loop Rd
Tuscaloosa VA Medical Center
Tuscaloosa, AL 35404-5015
Phone (205) 554-2822
Other providers in Tuscaloosa, AL
- Brett Chandler Bentley
- Lauren Elizabeth Bentley
- Robert Bentley
- Stephen Clinton Bentley
- Maria Annika Bergman
- Dirk L Berry
- Shree Antionette Berry
- Micha Blake Berryhill
- Lisa Besnoy
- Beta Neuron, LLC
All providers in Tuscaloosa, AL · Psychiatry Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 28, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.