Berryhill Medical PL

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME54994 Issued in FL

Legal business name

BERRYHILL MEDICAL PL

Practice address

4785 N 9TH Ave
Pensacola, FL 32503-2497

Phone

(850) 476-9691

Fax

(850) 476-0777

NPI assigned

Jan 12, 2007

Organization subpart

No

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

Authorized official

Name

Lisbeth Vernali, MD

Title

Owner

Phone

(850) 476-9691

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Berryhill Medical Plaza LLC. Former legal business name

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537401600000",
    "number": "1386794907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4785 N 9TH AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032497",
            "telephone_number": "850-476-9691",
            "fax_number": "850-476-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4785 N 9TH AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032497",
            "telephone_number": "850-476-9691",
            "fax_number": "850-476-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERRYHILL MEDICAL PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2018-09-20",
        "status": "A",
        "authorized_official_last_name": "VERNALI",
        "authorized_official_first_name": "LISBETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-476-9691",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME54994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "258620700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC OF FL GROUP NUMBER",
            "identifier": "45147",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "258620701",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Berryhill Medical Plaza LLC.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Berryhill Medical Plaza LLC.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Ian Patrick Berry, DPT
• Jada Berry
• Rodney Allen Berry, PHARMD
• Sharon Berry, LCSW
• Takia L Berry
• Berryhill Medical PL
• Justin Berryman, ATC
• Robert A Berryman, M.A., BCBA
• Adrian Reyes Bersabe, M.D.
• Christian Bersamina

• Family Medicine Physician in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; 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.