Active NPI
Colin Berry, MD
- Obstetrics & Gynecology Physician
- Roswell, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD2013-0799
- 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, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010217580 | Medicaid | VA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cberry306943@samhealth.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, OR, NM, WA, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
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
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD2013-0799 | NM | MD | Obstetrics & Gynecology Physician |
| MD222880 | OR | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia St. Mary's Hospital Milwaukee, Inc | Family Medicine | Current | Accepting new patients |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Las Cruces Physician Practices, LLC | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Family Medicine | Current | Accepting new patients |
| Southwest Medical Associates, LLC | Family Medicine | Current | Accepting new patients |
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Las Cruces Physician Practices, LLC | Current | Accepting new patients | |
| Columbia St. Mary's Hospital Milwaukee Inc | Current | Accepting new patients | |
| Sanford Health Network | Current | Accepting new patients | |
| Southwest Medical Associates, LLC | Family Medicine | Current | Accepting new patients |
| Prairie Du Chien Memorial Hospital Association Inc | Current | Accepting new patients | |
| Prairie Du Chien Memorial Hospital Assoc Inc | Family Medicine | Current | Accepting new patients |
| Sanford Health Network | Family Medicine | Current | Accepting new patients |
| Rehoboth McKinley Christian Health Care Services, Inc | Family Medicine | Current | Accepting new patients |
| Rehoboth McKinley Christian Health Care Services, Inc | Current | 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 | Current | Accepting new patients | |
| Obstetrix Medical Group of Washington Inc PS | Obstetrics & Gynecology | Current | 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
- cberry326328@ahs.direct-ci.com
- 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.
-
dba CHRISTUS St. Vincent Pediatrics
- Pediatrics Physician
- Santa Fe, NM
- NPI 1063367803
-
dba NM Cardiovascualr Associates
- Vascular Surgery Physician
- Las Cruces, NM
- NPI 1093947491
-
dba Presbyterian Medical Group
- Internal Medicine Physician
- Albuquerque, NM
- NPI 1104802354
Family Medicine
-
- Critical Access Hospital
- Gallup, NM
- NPI 1689784506
-
dba Lovelace Medical Group
- General Practice Physician
- Albuquerque, NM
- NPI 1164491072
Family Medicine
-
dba Ascension Columbia St Mary's Hospital Milwaukee
- Multi-Specialty Clinic/Center
- Milwaukee, WI
- NPI 1023064482
Family Medicine
-
- Maternal & Fetal Medicine Physician
- Seattle, WA
- NPI 1861599573
Obstetrics & Gynecology
-
dba Crossing Rivers Health
- Critical Access Hospital
- Prairie Du Chien, WI
- NPI 1619024197
-
dba Providence Medical Group
- General Practice Physician
- Lake Oswego, OR
- NPI 1023488343
-
dba Holy Cross Hospital
- General Acute Care Hospital
- Taos, NM
- NPI 1194751958
-
dba New Mexico Cardiac Care
- Cardiovascular Disease Physician
- Las Cruces, NM
- NPI 1346586195
-
dba Presbyterian Hospital
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.