Medberry Health PLLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MEDBERRY HEALTH PLLC

Practice address

4749 Fredericksburg Rd Ste a
San Antonio, TX 78229-4465

Phone

(210) 997-8630

NPI assigned

Mar 7, 2022

Last updated

Jan 31, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Luke Berry, MDNPI 1568816692

Title

Owner

Phone

(210) 997-8630

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 7

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.

• Nicholas Edward O'Bright, M.D.

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1760725584
  Medicare reassignment NPD
• Shelly Rae Russeff, APRN-CNP

  • Family Nurse Practitioner
  • Pauls Valley, OK
  • NPI 1053710053
  Medicare reassignment NPD
• Luke Burden Berry, M.D.

  • Emergency Medicine Physician
  • San Antonio, TX
  • NPI 1568816692
  Authorized official Same address or phone
• Jennifer Glenn, APRN-CNP

  • Family Nurse Practitioner
  • Harrah, OK
  • NPI 1043876071

  Family Medicine

  NPD
• Marian Gail Culpepper, APRN-CNP

  • Family Nurse Practitioner
  • San Antonio, TX
  • NPI 1033818315
  NPD (past)
• Amanda Michele Hernandez, PA

  • Physician Assistant
  • San Antonio, TX
  • NPI 1023600236
  NPD (past)
• Elise Marie Warner

  • Family Nurse Practitioner
  • Austin, TX
  • NPI 1437861382
  NPD (past)

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

{
    "created_epoch": "1646611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675123200000",
    "number": "1487301867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4749 FREDERICKSBURG RD STE A",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4749 FREDERICKSBURG RD STE A",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294465",
            "telephone_number": "210-997-8630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10717 N May Ave",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731202620",
            "country_code": "US",
            "telephone_number": "210-997-8630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEDBERRY HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-07",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "LUKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-997-8630",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Paul Medaris, PT
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• Medcede Physician Services, PLLC

• General Practice Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.