Individual provider Active NPI

Blake A. Berryhill, MD

  • Specialist
  • Shenandoah, TX
National Provider Identifier
1326228115
Registry record updated Aug 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
N8376 Issued in TX
Practice address
9180 Pinecroft Dr Ste 100
Shenandoah, TX 77380-3880
Phone
(281) 367-6836
NPI assigned
Nov 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X N8376 TX Primary

Addresses

Primary practice location

9180 Pinecroft Dr Ste 100
Shenandoah, TX 77380-3880

Mailing address

9180 Pinecroft Dr Ste 100
Shenandoah, TX 77380-3880
Phone (281) 367-6836

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110818000052 TX Practitioner - Obstetrics/Gynecology 0042489593 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Texas Tech University Health Science Center School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Women'S Healthcare Affiliates, P. a.Group PAC ID 1456349257, 5 clinicians

Practice addresses (Care Compare)

9180 Pinecroft Dr
Suite 100
Shenandoah, TX 77380-3880
Phone (713) 568-8513

Hospital & facility affiliations

  • Tops Surgical Specialty Hospital Hospital, Houston, TX, CCN 450774
  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184
  • Houston Methodist the Woodlands Hospital Hospital, The Woodlands, TX, CCN 670122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Women'S Healthcare Affiliates, P. a. Specialist CurrentSince Aug 1, 2011 Accepting new patients
Memorial Hermann Health System Past Accepting new patients
Woodlands Gynecology & Aesthetics Past Accepting new patients

Locations

9180 Pinecroft Dr
Ste 100
Shenandoah, TX 77380
Phone (281) 367-6836

8850 Six Pines Dr
Ste 100
Shenandoah, TX 77380
Phone (281) 364-8844

Interoperability endpoints

  • Direct secure messaging: blake.berryhill.1@28202.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1326228115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9180 PINECROFT DR STE 100",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773803880",
            "telephone_number": "281-367-6836",
            "fax_number": "281-367-5545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9180 PINECROFT DR STE 100",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773803880",
            "telephone_number": "281-367-6836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRYHILL",
        "first_name": "BLAKE",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-08",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "N8376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

Verify at the official NPI Registry.