Adam Kenneth Berry, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME121310 Issued in FL

Practice address

12953 Palms West Dr Ste 102
Loxahatchee, FL 33470-4991

Phone

(561) 793-1713

Fax

(888) 217-9051

NPI assigned

Apr 10, 2012

Reactivated

Dec 5, 2024

Sex

Male

Sole proprietor

No

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.

• Conviva Medical Center Management LLC

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1649324278

  FL, Internal Medicine

  Medicare reassignment Care Compare group NPD
• DRS. Labi & Brady, PA

  • Durable Medical Equipment & Medical Supplies
  • Coral Springs, FL
  • NPI 1578739546
  NPD (past)

Specialty

Internal Medicine

Education

Rush Medical College of Rush University, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Conviva Medical Center Management, LLC 507 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles (2 of 4)

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Interoperability endpoints

• Direct secure messaging: adam.berry.2@29601.direct.athenahealth.com
• Direct secure messaging: adam.berry.1@29601.direct.athenahealth.com
• Direct secure messaging: adam.berry@484.emedpractice.direct-ci.com

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1386900835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12953 PALMS WEST DR STE 102",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334704991",
            "telephone_number": "561-793-1713",
            "fax_number": "888-217-9051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12953 PALMS WEST DR STE 102",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334704991",
            "telephone_number": "561-793-1713",
            "fax_number": "888-217-9051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3854 Britton Plz",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336111406",
            "country_code": "US",
            "telephone_number": "813-837-2814",
            "fax_number": "813-839-4336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERRY",
        "first_name": "ADAM",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-10",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "deactivation_date": "2024-11-19",
        "reactivation_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME121310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adam.berry.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "adam.berry.1@29601.direct.athenahealth.com",
            "address_1": "3854 Britton Plz",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336111406",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adam.berry.2@29601.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "adam.berry.2@29601.direct.athenahealth.com",
            "address_1": "3854 Britton Plz",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336111406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Juan Ricardo Barron
• Noel Georgette Beauchesne, PTA
• Elsie P Belfort, ARNP
• Ada Sofia Bello, NP-C
• Napoleon Gustavo Bequer, M.D.
• Brendan Beswilan
• Yeliani Betancourt Leon
• Bind Healthcare
• Ryan Bishop, L.AC., LMT
• Shalene P Blake-Dennis, CRNA

• All providers in Loxahatchee, FL
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.