Individual provider Active NPI

Thomas Christopher Berry, MD

  • Surgery Physician
  • Morgan City, LA
National Provider Identifier
1609094309
Registry record updated Dec 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD.202016 Issued in LA
Practice address
1302 Lakewood Dr
Suite 202
Morgan City, LA 70380-1889
Phone
(985) 300-5438
Fax
(985) 380-1029
NPI assigned
Apr 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD.202016 LA Primary

Addresses

Primary practice location

1302 Lakewood Dr
Suite 202
Morgan City, LA 70380-1889

Mailing address

1990 Industrial Blvd
Houma, LA 70363-7055
Phone (985) 868-9300

Other identifiers 1

IdentifierTypeStateIssuer
1178608MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20080729000531 LA Practitioner - General Surgery 0840364535 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Louisiana State University School of Medicine in Shreveport, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Louisiana Medical AssociatesGroup PAC ID 8527968650, 112 clinicians

Practice addresses (Care Compare)

1990 Industrial Blvd
Houma, LA 70363-7055
Phone (985) 868-9300

Hospital & facility affiliations

  • Leonard J Chabert Medical Center Hospital, Houma, LA, CCN 190183
  • Terrebonne General Medical Center - Parish Hospital, Houma, LA, CCN 190008
  • Ochsner St Anne General Hospital Hospital, Raceland, LA, CCN 191324

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy14
Hernia repair - groin (open)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.202016LAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Louisiana Medical Associates CurrentSince Jun 1, 2015 Accepting new patients
South Louisiana Medical Associates CurrentSince Jun 1, 2015 Accepting new patients
South Louisiana Medical Associates Surgery Current Accepting new patients
Bayou Surgical Specialists, L.L.C. Surgery Past Accepting new patients
Lafourche Parish Hospital Service District No.1 Past Accepting new patients

Locations

1990 Industrial Blvd
Houma, LA 70363
Phone (985) 868-9300

605 Enterprise Dr
Ste B
Houma, LA 70360
Phone (985) 262-1639

500 Corporate Dr
Ste K
Houma, LA 70360
Phone (985) 868-4890

165 Corporate Dr
Houma, LA 70360
Phone (985) 360-3755

1302 Lakewood Dr
Ste 102
Morgan City, LA 70380
Phone (985) 384-3433

1302 Lakewood Dr
Ste 202
Morgan City, LA 70380
Phone (985) 300-5438

Interoperability endpoints

  • Direct secure messaging: btchris407351@direct.ochsner.org
  • Direct secure messaging: berry@slma.ssdirect.aprima.com
  • Direct secure messaging: phys_t_christopher_berry_md@yourcarecommunity.org

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480550400000",
    "number": "1609094309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1990 INDUSTRIAL BLVD",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703637055",
            "telephone_number": "985-868-9300",
            "fax_number": "985-851-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 LAKEWOOD DR",
            "address_2": "SUITE 202",
            "city": "MORGAN CITY",
            "state": "LA",
            "postal_code": "703801889",
            "telephone_number": "985-300-5438",
            "fax_number": "985-380-1029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "THOMAS",
        "middle_name": "CHRISTOPHER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-20",
        "last_updated": "2016-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "LA",
            "license": "MD.202016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1178608",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgan City, LA

Sources for this page

Verify at the official NPI Registry.