Robert G Berry Jr MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

ROBERT G BERRY JR MD PC

Doing business as

Spine and Orthopedic Rehabilitation Specialist

Practice address

2200 South Rancho Drive
Las Vegas, NV 89102-0000

Phone

(702) 677-3607

Fax

(702) 515-6657

NPI assigned

Aug 5, 2006

Last updated

Apr 11, 2011By 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 G Berry Jr., MDNPI 1356327522

Title

Owner of Company

Phone

(775) 828-2873

Specialties & licenses 1

Addresses

Other names 1

• Spine and Orthopedic Rehabilitation Specialist Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert G Berry Jr., MD

  • Physical Medicine & Rehabilitation Physician
  • Reno, NV
  • NPI 1356327522
  NPD Authorized official

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302480000000",
    "number": "1255340824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6630 SOUTH MCCARRAN BLVD",
            "address_2": "SUITE A-4",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895096135",
            "telephone_number": "775-828-2873",
            "fax_number": "775-828-2889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 SOUTH RANCHO DRIVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891020000",
            "telephone_number": "702-677-3607",
            "fax_number": "702-515-6657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT G BERRY JR MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2011-04-11",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER OF COMPANY",
        "authorized_official_telephone_number": "775-828-2873",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spine and Orthopedic Rehabilitation Specialist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Robert Lynn Horne MD LTD
• Robert Lynn Horne MD LTD

• Specialist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Specialist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; 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.