Individual provider Active NPI

Scott F Berry, DO

  • Anesthesiology Physician
  • Brockport, NY
National Provider Identifier
1225051444
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
2237571 Issued in NY
Practice address
156 West Ave
Lakeside Memorial Hospital
Brockport, NY 14420
Phone
(585) 395-6095
NPI assigned
Jul 26, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 2237571 NY Primary

Addresses

Primary practice location

156 West Ave
Lakeside Memorial Hospital
Brockport, NY 14420

Mailing address

980 Westfall Rd
Ste 350
Rochester, NY 14618-3820
Phone (585) 271-4280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040812001331 NY Practitioner - AnesthesiologyPractitioner - Pain Management 3870566482 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2237571NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Anesthesiologist Services PC Anesthesiology CurrentSince Aug 1, 2025 Accepting new patients
Westside Anesthesia Associates of Rochester, LLP Anesthesiology CurrentSince May 1, 2013 Accepting new patients
Dansville Anesthesia & Pain Treatment, PLLC Anesthesiology Past Accepting new patients
Genesee Valley Anesthesiologists Anesthesiology Past Accepting new patients
Lakeside Anesthesia PLLC Anesthesiology PastSince Oct 11, 2009 Accepting new patients
The Unity Hospital of Rochester Past Accepting new patients

Locations

135 Canal Landing Blvd
Rochester, NY 14626
Phone (585) 225-0270

2440 Ridgeway Ave
Ste 100
Rochester, NY 14626
Phone (585) 720-1550

980 Westfall Rd
Ste 300
Rochester, NY 14618
Phone (585) 271-4480

830 Washington St
Watertown, NY 13601
Phone (315) 785-4000

Organizations & group practices 6

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225051444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 WESTFALL RD",
            "address_2": "STE 350",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146183820",
            "telephone_number": "585-271-4280",
            "fax_number": "585-271-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 WEST AVE",
            "address_2": "LAKESIDE MEMORIAL HOSPITAL",
            "city": "BROCKPORT",
            "state": "NY",
            "postal_code": "14420",
            "telephone_number": "585-395-6095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "SCOTT",
        "middle_name": "F",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "2237571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockport, NY

Sources for this page

Verify at the official NPI Registry.