Tommie Russell Berry Jr., M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

MD486652 Issued in PA

Practice address

3401 N Broad St
Philadelphia, PA 19140-5103

Phone

(215) 707-3646

NPI assigned

Mar 31, 2014

Last updated

Aug 28, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in SC, PA2 enrollments

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 2

Specialty

Physical Medicine and RehabilitationAlso: Sports Medicine

Education

University of Louisville School of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Temple Faculty Practice Plan IncGroup PAC ID 0345588711, 1,325 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Temple University Hospital Hospital, Philadelphia, PA, CCN 390027

Merit-based Incentive Payment System (MIPS)

Final score

81.21 of 100Reported as group

Quality

49.71

Promoting interoperability

100

Improvement activities

40

Cost

74.23

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Temple Faculty Practice Plan Inc

  dba Temple Faculty Anesthesiology Associates

  • Anesthesiology Physician
  • Philadelphia, PA
  • NPI 1881176949
  Medicare reassignment Care Compare group NPD
• Active Life Health of Columbia, LLC

  dba Arthritis Knee Pain Centers

  • Physical Medicine & Rehabilitation Physician
  • Columbia, SC
  • NPI 1104425529
  Medicare reassignment NPD
• Temple Faculty Practice Plan, Inc

  dba Temple Faculty Rehabilitation Associates

  • Physical Medicine & Rehabilitation Physician
  • Philadelphia, PA
  • NPI 1467935825
  NPD
• Active Life Health of Columbia, LLC

  dba Arthritis Knee Pain Centers

  • Durable Medical Equipment & Medical Supplies
  • Columbia, SC
  • NPI 1851990121
  NPD
• Temple Faculty Practice Plan Inc

  dba Temple Faculty Multi-Specialty at NJ

  • Urology Physician
  • Voorhees, NJ
  • NPI 1407638794
  NPD
• Temple Faculty Practice Plan Inc

  dba Temple Faculty Dermatology Associates

  • Dermatology Physician
  • Philadelphia, PA
  • NPI 1285116228
  NPD (past)

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

• Temple University Hospital, Inc

  dba The Temple University Hospital Fox Chase Cancer Center Buckingham Outp

  • Clinic/Center
  • Furlong, PA
  • NPI 1093404386

  Hospital

  Care Compare affiliation
• Temple University Hospital, Inc

  dba Temple University Hospital-Fox Chase Outpatient Department

  • General Acute Care Hospital
  • Philadelphia, PA
  • NPI 1275157455
  Care Compare affiliation
• Temple University Hospital, Inc

  • Ambulatory Surgical Clinic/Center
  • Philadelphia, PA
  • NPI 1275682148

  Hospital

  Care Compare affiliation
• Temple University Hospital, Inc

  dba Temple University Hospital - Jeanes Campus

  • General Acute Care Hospital
  • Philadelphia, PA
  • NPI 1356981443
  Care Compare affiliation
• Temple University Hospital, Inc

  dba Temple University Hospital Fox Chase Cancer Center East Norriton Outpa

  • Clinic/Center
  • East Norriton, PA
  • NPI 1407612922

  Hospital

  Care Compare affiliation
• Temple University Hospital, Inc

  dba Temple University Hospital Fox Chase Cancer Center at Chestnut Hill Ho

  • General Acute Care Hospital
  • Philadelphia, PA
  • NPI 1871368654
  Care Compare affiliation
• Temple University Hospital, Inc

  dba Temple Women and Families Hospital

  • General Acute Care Hospital
  • Philadelphia, PA
  • NPI 1932813789
  Care Compare affiliation
• Temple University Hospital, Inc

  • General Acute Care Hospital
  • Philadelphia, PA
  • NPI 1962579029
  Care Compare affiliation

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

{
    "created_epoch": "1396224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1336567007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191405103",
            "telephone_number": "215-707-3646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191405103",
            "telephone_number": "215-707-3646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "TOMMIE",
        "middle_name": "RUSSELL",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-31",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OH",
            "license": "35.137255",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "MD486652",
            "primary": true
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "GA",
            "license": "89500",
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "OH",
            "license": "35.137255",
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "SC",
            "license": "85696",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Anne Berry, SLP
• Kristen A. Berry, DO
• Lydia Berry, PHARMD
• Susannah Berry, LCSW
• Thurayya Tymika Berry
• Veronica Marie Bersani, MPH,RD,LDN
• Brooke Alana Berson, D.M.D.
• Paul Jeffery Berson
• Erin E Berstler, LMFT
• Andrew Berta, M.D.

• Physical Medicine & Rehabilitation Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Physical Medicine & Rehabilitation Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; 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.