Individual provider Active NPI

Colin Berry, MD

  • Obstetrics & Gynecology Physician
  • Roswell, NM
National Provider Identifier
1235168642
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD2013-0799 Issued in NM
Practice address
305 W Country Club Rd
Roswell, NM 88201-5892
Phone
(575) 622-6322
Fax
(575) 622-6888
NPI assigned
Jun 30, 2006
Last updated
May 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0101045353 VA
Obstetrics & Gynecology Physician 207V00000X MD222880 OR
Obstetrics & Gynecology Physician 207V00000X 24636 WV
Obstetrics & Gynecology Physician 207V00000X MD2013-0799 NM Primary

Addresses

Primary practice location

305 W Country Club Rd
Roswell, NM 88201-5892

Mailing address

PO Box 2608
Roswell, NM 88202-2608
Phone (575) 622-6322

Other practice location 1

930 SW Abbey St Ste B
Newport, OR 97365-4820
Phone (541) 574-7235

Other practice location 2

9205 SW Barnes Rd
Portland, OR 97225-6603
Phone (503) 216-3388

Other identifiers 1

IdentifierTypeStateIssuer
010217580MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cberry306943@samhealth.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, OR, NM, WA, WI5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20110919000755 MN Practitioner - Obstetrics/Gynecology 6305803842
I20120614000242 OR Practitioner - Obstetrics/Gynecology 6305803842 Reassigns benefits to 1 organization
I20140708000293 NM Practitioner - Obstetrics/Gynecology 6305803842 Reassigns benefits to 6 organizations
I20231229002004 WA Practitioner - Obstetrics/Gynecology 6305803842 Reassigns benefits to 1 organization
I20240319001702 WI Practitioner - Obstetrics/Gynecology 6305803842 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Uniformed Services Uhs Fe Hebert School of Med, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent HospitalGroup PAC ID 6608775135, 335 clinicians

Practice addresses (Care Compare)

433 Saint Michaels Dr
Santa Fe, NM 87505-7601
Phone (505) 988-1232

445 Saint Michaels Dr
Santa Fe, NM 87505-7601
Phone (505) 913-8900

455 Saint Michaels Dr
Santa Fe, NM 87505-7601

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD2013-0799NMMDObstetrics & Gynecology Physician
MD222880ORMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia St. Mary's Hospital Milwaukee, Inc Family Medicine CurrentSince Feb 5, 2024 Accepting new patients
Providence Health & Services Oregon Current Accepting new patients
Providence Health & Services Oregon CurrentSince Mar 1, 2025 Accepting new patients
Las Cruces Physician Practices, LLC Current Accepting new patients
Presbyterian Healthcare Services Family Medicine CurrentSince Dec 19, 2023 Accepting new patients
Southwest Medical Associates, LLC Family Medicine CurrentSince Jun 1, 2023 Accepting new patients
Presbyterian Healthcare Services CurrentSince Dec 19, 2023 Accepting new patients
Las Cruces Physician Practices, LLC CurrentSince Apr 15, 2020 Accepting new patients
Columbia St. Mary's Hospital Milwaukee Inc CurrentSince Feb 5, 2024 Accepting new patients
Sanford Health Network CurrentSince May 20, 2024 Accepting new patients
Southwest Medical Associates, LLC Family Medicine CurrentSince Jun 1, 2023 Accepting new patients
Prairie Du Chien Memorial Hospital Association Inc CurrentSince May 1, 2024 Accepting new patients
Prairie Du Chien Memorial Hospital Assoc Inc Family Medicine CurrentSince May 1, 2024 Accepting new patients
Sanford Health Network Family Medicine CurrentSince May 20, 2024 Accepting new patients
Rehoboth McKinley Christian Health Care Services, Inc Family Medicine CurrentSince Mar 12, 2014 Accepting new patients
Rehoboth McKinley Christian Health Care Services, Inc CurrentSince Mar 12, 2014 Accepting new patients
Sanford Health Network Family Medicine Current Accepting new patients
Rehoboth McKinley Christian Health Care Services, Inc. Current Accepting new patients
Providence Health & Services Oregon CurrentSince Mar 1, 2025 Accepting new patients
Obstetrix Medical Group of Washington Inc PS Obstetrics & Gynecology CurrentSince Apr 1, 2025 Accepting new patients
Columbia Lutheran Charities Family Medicine Past Accepting new patients
Riverside Physician Services Inc Past Accepting new patients
Seattle Nuclear Medicine-Ultrasound Associates Past Accepting new patients
Taos Health Systems, Inc., Holy Cross Hospital Past Accepting new patients
Columbia Lutheran Charities Past Accepting new patients

Locations

File 50978
Los Angeles, CA 90074

249 5th St E
Tracy, MN 56175
Phone (507) 629-3520

1018 6th Ave
Worthington, MN 56187
Phone (507) 343-6100

6701 Jefferson St NE
Albuquerque, NM 87109
Phone (505) 727-0600

715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

1900 Red Rock Dr
Gallup, NM 87301
Phone (505) 863-1820

1901 Red Rock Dr
Gallup, NM 87301
Phone (505) 726-6875

2111 College Dr
Gallup, NM 87301
Phone (505) 397-5172

2520 S Telshor Blvd
Las Cruces, NM 88011
Phone (575) 522-9793

4351 E Lohman Ave
Ste 200
Las Cruces, NM 88011
Phone (505) 532-9755

4351 E Lohman Ave
Ste 403
Las Cruces, NM 88011
Phone (575) 522-6806

1202 Highway 60
Bldg D
Socorro, NM 87801
Phone (575) 838-4690

5050 NE Hoyt St
Ste 240
Portland, OR 97213
Phone (503) 215-6480

9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234

9205 SW Barnes Rd
Fl 3
Portland, OR 97225
Phone (503) 215-6150

900 Pacific Ave
Everett, WA 98201
Phone (425) 258-7900

751 NE Blakely Dr
Issaquah, WA 98029
Phone (425) 313-4000

1229 Madison St
Ste 1150
Seattle, WA 98104
Phone (206) 386-2101

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

800 W 5th Ave
Spokane, WA 99204
Phone (509) 458-5800

2301 N Lake Dr
Milwaukee, WI 53211
Phone (414) 270-4932

37868 US Highway 18
Prairie du Chien, WI 53821
Phone (608) 357-2000

801 S 70th St
West Allis, WI 53214
Phone (414) 773-6600

Interoperability endpoints

  • Direct secure messaging: cberry326328@ahs.direct-ci.com
  • Direct secure messaging: cberry870795@direct.emplifyhealth.org

Organizations & group practices 27

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.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1235168642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2608",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882022608",
            "telephone_number": "575-622-6322",
            "fax_number": "575-622-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W COUNTRY CLUB RD",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882015892",
            "telephone_number": "575-622-6322",
            "fax_number": "575-622-6888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "930 SW Abbey St Ste B",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "OR",
            "postal_code": "973654820",
            "country_code": "US",
            "telephone_number": "541-574-7235",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9205 SW Barnes Rd",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972256603",
            "country_code": "US",
            "telephone_number": "503-216-3388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERRY",
        "first_name": "COLIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101045353",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OR",
            "license": "MD222880",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WV",
            "license": "24636",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NM",
            "license": "MD2013-0799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010217580",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cberry306943@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "930 SW Abbey St Ste B",
            "city": "Newport",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973654820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Roswell, NM

Sources for this page

Verify at the official NPI Registry.