Robert Lyon Berry, M.D.
Individual provider Active NPI Specialist · Little Rock, AR
NPI 1205944337 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1205944337
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- C5175 (AR)
- Practice address
- 9800 Lile Dr
Ste. 301
Little Rock, AR 72205-6229 - Phone
- (501) 225-4488
- Fax
- (501) 225-9299
- NPI assigned
- Aug 28, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- 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 |
|---|---|---|---|---|
| I20100831000916 | AR | Practitioner - Ophthalmology | 1850483025 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C5175 | AR | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frank S Teed MD PA | Current |
Accepting new patients | |
| George Schroeder, M.D., P.a. | Past |
Accepting new patients |
Locations
2914 Cypress Rd
Arkadelphia, AR 71923
Phone (870) 245-3003
220 S 2nd St
Nashville, AR 71852
Phone (870) 246-7000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | C5175 | AR | Yes |
Addresses
Primary practice location
9800 Lile Dr
Ste. 301
Little Rock, AR 72205-6229
Mailing address
9800 Lile Dr
Ste. 301
Little Rock, AR 72205-6229
Phone (501) 225-4488
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.