Individual provider Active NPI

Michael Alan Berry, M.D

  • Gastroenterology Physician
  • Foley, AL
National Provider Identifier
1013915099
Registry record updated May 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
12151 Issued in AL
Practice address
1625 N Alston St
Foley, AL 36535-2208
Phone
(251) 970-1954
Fax
(251) 970-1960
NPI assigned
Jul 13, 2005
Last updated
May 13, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 12151 AL Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101026000023 AL Practitioner - Gastroenterology 0446146476 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterologists PC Gastroenterology CurrentSince Feb 13, 2015 Accepting new patients

Locations

1625 N Alston St
Foley, AL 36535
Phone (251) 215-4004

Interoperability endpoints

  • Direct secure messaging: admin@gastropc.e-mdsdirect.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589328000000",
    "number": "1013915099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 N ALSTON ST",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365352208",
            "telephone_number": "251-970-1954",
            "fax_number": "251-970-1960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 N ALSTON ST",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365352208",
            "telephone_number": "251-970-1954",
            "fax_number": "251-970-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "MICHAEL",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AL",
            "license": "12151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Foley, AL

Sources for this page

Verify at the official NPI Registry.