Robert Eugene Berry, DO

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

M1511 Issued in TX

Practice address

19200 Preston Rd Ste 120
Dallas, TX 75252-2450

Phone

(469) 200-2832

Fax

(469) 269-1074

NPI assigned

Jul 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Orthopedic Surgery

Education

College of Osteo Med of the Pacific at Pomona, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sports Physicians Orthopedics and Rehabilitation of TexasGroup PAC ID 7113231929, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baylor Scott & White Institute for Rehabilitation Inpatient rehabilitation facility, Dallas, TX, CCN 453036

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sport.robertberry@155660.advancedmd-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sports Physicians Orthopedics and Rehabilitation of Texas

  • Medical Specialty Clinic/Center
  • Dallas, TX
  • NPI 1033505664

  Sports Medicine

  Medicare reassignment Care Compare group NPD Authorized official
• Physicians and Allied Health Professionals Group, PA

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1528011814
  NPD (past)
• Sports, Physicians, Orthopedics, and Rehabilitation of Texas

  • Orthopaedic Surgery Physician
  • Dallas, TX
  • NPI 1669921433
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bir JV LLP

  • Rehabilitation Hospital
  • Dallas, TX
  • NPI 1538465901

  Inpatient rehabilitation facility

  Care Compare affiliation

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1316971740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19200 PRESTON RD STE 120",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752522450",
            "telephone_number": "469-200-2832",
            "fax_number": "469-269-1074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19200 PRESTON RD STE 120",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752522450",
            "telephone_number": "469-200-2832",
            "fax_number": "469-269-1074"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8501 Wade Blvd",
            "address_2": "Ste 270",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "75034",
            "country_code": "US",
            "telephone_number": "469-200-2832",
            "fax_number": "469-269-1074",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8501 Wade Blvd",
            "address_2": "Ste 270",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "75034",
            "country_code": "US",
            "telephone_number": "469-200-2832",
            "fax_number": "469-269-1074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERRY",
        "first_name": "ROBERT",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "20A7616",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "TX",
            "license": "M1511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174448403",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Georgena Berry, FNP-C
• Laura M Berry, MD
• Marcy L Berry, M.D.
• Phil Hunter Berry Jr., M.D.
• Priscilla Marie Berry, MD
• Salina Michelle Berry
• Sherrylynn Berry, RN
• Stephanie Berry, D.C
• William L Berry, M.D.
• Dianna Marie Berryhill

• Sports Medicine (Orthopaedic Surgery) Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.

Verify at the official NPI Registry.