Brian J Berry, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD00024170 Issued in WA

Practice address

7210 40TH St W
Ste 100
University Place, WA 98466-4318

Phone

(253) 564-0170

Fax

(253) 207-4240

NPI assigned

Aug 5, 2006

Last updated

Nov 16, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Fox Medical Center

  • Family Medicine Physician
  • University Place, WA
  • NPI 1639748882
  NPD (past)

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289865600000",
    "number": "1295744555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7210 40TH ST W",
            "address_2": "STE 100",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664318",
            "telephone_number": "253-564-0170",
            "fax_number": "253-207-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7210 40TH ST W",
            "address_2": "STE 100",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664318",
            "telephone_number": "253-564-0170",
            "fax_number": "253-207-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "BRIAN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2010-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "MD00024170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Shaquille Beauchamp
• Martine Bedimo-Mbia, LPN
• Michaela Jade Beggs, RDN
• Beltone Hearing Center
• Keena C Berndt-Morrow, D.C.
• Denise Rachel Bessette, LMP
• Katherine Beth-Juddah, LMP
• Kristina Elizabeth Betz, LMFT
• Beyond Blue Skies LLC
• Tammy D. Bhang, ARNP

• Pediatrics Physician in University Place, WA
• Providers in University Place, WA by specialty
• Pediatrics Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; 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.