Individual provider Active NPI

Barbara A Berry, MD

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1457411613
Registry record updated Nov 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
16849 Issued in AZ
Practice address
7600 N 15TH St
#190
Phoenix, AZ 85020-4348
Phone
(602) 200-3800
Fax
(602) 200-3838
NPI assigned
Dec 11, 2006
Last updated
Nov 7, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 16849 AZ Primary

Addresses

Primary practice location

7600 N 15TH St
#190
Phoenix, AZ 85020-4348

Mailing address

7600 N 15TH St
#190
Phoenix, AZ 85020-4327
Phone (602) 200-3800

Other identifiers 1

IdentifierTypeStateIssuer
255655MedicaidAZ

Other names 1

  • Barbara A Allgood Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20100902000866 AZ Practitioner - Family Practice 8224126495 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
4C Medical Group PLC Family Medicine Current Accepting new patients
4C Medical Group PLC CurrentSince Nov 7, 2022 Accepting new patients

Locations

7600 N 15th St
Ste 190
Phoenix, AZ 85020
Phone (602) 200-3800

9590 E Ironwood Square Dr
Ste 125
Scottsdale, AZ 85258
Phone (480) 272-6400

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352246400000",
    "number": "1457411613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 N 15TH ST",
            "address_2": "#190",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850204327",
            "telephone_number": "602-200-3800",
            "fax_number": "602-200-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 N 15TH ST",
            "address_2": "#190",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850204348",
            "telephone_number": "602-200-3800",
            "fax_number": "602-200-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "BARBARA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2012-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "16849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255655",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BARBARA",
            "last_name": "ALLGOOD",
            "middle_name": "A",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.