Michael Alan Berry, M.D
Individual provider Active NPI Gastroenterology Physician · Foley, AL
NPI 1013915099 · NPPES record last updated May 13, 2020
Key facts
- NPI
- 1013915099
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- License
- 12151 (AL)
- Practice address
- 1625 N Alston St
Foley, AL 36535-2208 - Phone
- (251) 970-1954
- Fax
- (251) 970-1960
- NPI assigned
- Jul 13, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101026000023 | AL | Practitioner - Gastroenterology | 0446146476 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastroenterologists PC | Gastroenterology | Current |
Accepting new patients |
Locations
1625 N Alston St
Foley, AL 36535
Phone (251) 215-4004
Interoperability endpoints
- admin@gastropc.e-mdsdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 12151 | AL | Yes |
Addresses
Primary practice location
1625 N Alston St
Foley, AL 36535-2208
Mailing address
1625 N Alston St
Foley, AL 36535-2208
Phone (251) 970-1954
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5581199 | Other | AL | AETNA |
| 0515-13766 | Other | AL | BCBS |
| 2910028 | Other | AL | UNITED HEALTHCARE |
| 000034907 | Medicaid | AL | |
| 100015318 | Other | AL | RAILROAD MEDCARE |
| 0510-34907 | Other | AL | BCBS |
Other providers in Foley, AL
- Bayley Beasley
- Jaleah Beckley
- Roy R Bell
- Deanne Margaret Lim Bellosa
- Benchmark Physical Therapy of Alabama, LLC
- Best Clinic, PC
- Better Living, Inc
- Beyond Measure Therapy, LLC
- Omar Bibi
- Big Wave Dentistry LLC
All providers in Foley, AL · Gastroenterology 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 May 13, 2020. 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.