Organization Active NPI

Yvanne M Berryer MD PA

  • Obstetrics & Gynecology Physician
  • Homestead, FL
National Provider Identifier
1346671104
Registry record updated Dec 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
YVANNE M BERRYER MD PA
Practice address
829 NE 4TH Ave
Homestead, FL 33030-4720
Phone
(305) 247-2475
Fax
(305) 357-2499
NPI assigned
Dec 4, 2013
Last updated
Dec 6, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2013

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

Authorized official

Name
Dr. Yvanne M Berryer, MDNPI 1386602381
Title
OBGYN/Owner
Phone
(305) 247-2475

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

829 NE 4TH Ave
Homestead, FL 33030-4720

Mailing address

829 NE 4TH Ave
Homestead, FL 33030-4720
Phone (305) 247-2475

Other identifiers 2

IdentifierTypeStateIssuer
251422200MedicaidFL
186304OtherFLMEDICARE

National Provider Directory

National Provider Directory

Locations

829 NE 4th Ave
Homestead, FL 33030
Phone (305) 247-1500

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1386115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386288000000",
    "number": "1346671104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "829 NE 4TH AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304720",
            "telephone_number": "305-247-2475",
            "fax_number": "305-357-2499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 NE 4TH AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304720",
            "telephone_number": "305-247-2475",
            "fax_number": "305-357-2499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YVANNE M BERRYER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-04",
        "last_updated": "2013-12-06",
        "status": "A",
        "authorized_official_last_name": "BERRYER",
        "authorized_official_first_name": "YVANNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OBGYN/OWNER",
        "authorized_official_telephone_number": "305-247-2475",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251422200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "186304",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2013; 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.