Robert E. Berry, DO PA

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

M1511 Issued in TX

Legal business name

ROBERT E. BERRY, DO PA

Practice address

5471 Kearny Villa Rd
Suite 200
San Diego, CA 92123-1151

Phone

(858) 571-0606

Fax

(858) 715-4942

NPI assigned

Feb 9, 2009

Last updated

Dec 10, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert E Berry, D.O.

Title

President

Phone

(858) 571-0606

Specialties & licenses 2

Addresses

Other names 1

• TEAM Orthopedics Other name

Locations

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

{
    "created_epoch": "1234137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291939200000",
    "number": "1063651495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5471 KEARNY VILLA RD",
            "address_2": "SUITE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231151",
            "telephone_number": "858-571-0606",
            "fax_number": "858-715-4942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5471 KEARNY VILLA RD",
            "address_2": "SUITE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231151",
            "telephone_number": "858-571-0606",
            "fax_number": "858-715-4942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT E. BERRY, DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-09",
        "last_updated": "2010-12-10",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-571-0606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "M1511",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "TX",
            "license": "M1511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TEAM Orthopedics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Robert Fremont DDS Inc
• Robert Gonzalez OD Inc (Lake Murray Optometric Center)

• Sports Medicine (Orthopaedic Surgery) Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.