Robert G Berry Jr., MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

6668 Issued in NV

Practice address

6630 S McCarran Blvd
Suite a-4
Reno, NV 89509-6135

Phone

(775) 828-2873

Fax

(775) 828-2889

NPI assigned

Dec 20, 2005

Last updated

Jul 20, 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 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NV

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

Physical Medicine and Rehabilitation

Education

University of Southern California Keck School of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Robert G Berry Jr LTDGroup PAC ID 2466488903, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: orthorehabofnevada.robertberry@141557.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Robert G Berry Jr LTD

  dba Mountain West Sport and Spine

  • Physical Medicine & Rehabilitation Physician
  • Reno, NV
  • NPI 1386654911
  Medicare reassignment Care Compare group NPD
• Robert G Berry Jr Elko Chartered LLC

  dba Elko Spine and Rehabilitation

  • Physical Medicine & Rehabilitation Physician
  • Elko, NV
  • NPI 1386986206
  Medicare reassignment NPD
• Robert G Berry Jr MD PC

  dba Spine and Orthopedic Rehabilitation Specialist

  • Specialist
  • Las Vegas, NV
  • NPI 1255340824
  NPD Authorized official
• Michael M Salas MD Inc

  dba Tahoe Spine and Pain Care

  • Physical Medicine & Rehabilitation Physician
  • Incline Village, NV
  • NPI 1588673149
  NPD (past)
• Robert G Berry Jr MD

  dba Mountain West Sport and Spine

  • Interventional Pain Medicine Physician
  • Reno, NV
  • NPI 1306822499
  NPD (past)

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279584000000",
    "number": "1356327522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6630 S MCCARRAN BLVD",
            "address_2": "SUITE A-4",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895096135",
            "telephone_number": "775-828-2873",
            "fax_number": "775-828-2889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6630 S MCCARRAN BLVD",
            "address_2": "SUITE A-4",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895096135",
            "telephone_number": "775-828-2873",
            "fax_number": "775-828-2889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "ROBERT",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2010-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NV",
            "license": "6668",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "G75770",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "CA",
            "license": "G75770",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NV",
            "license": "6668",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11039746",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002016504",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David P Berry, M.D.
• Michael Kawika Berry, CPRSS, CHW
• Olivia Elyse Berry
• Ondra Berry
• Paula Jean Berry, LCSW
• Aaron Anthony Bertalmio, MD
• Kelly A Bertelsen, D.D.S.
• James A Bertone, LCSW, LADC
• Sheila Mae Bertrand, PT
• Timothy Joseph Bertrand, PT

• Physical Medicine & Rehabilitation Physician in Reno, NV
• Providers in Reno, NV by specialty
• Physical Medicine & Rehabilitation Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; 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.