Trevor Sean Berry, D.C., D.A.C.N.B.

Primary specialty

Neurology ChiropractorTaxonomy code 111NN0400X

License

5648 Issued in AZ

Practice address

1761 E Warner Rd
Ste. A17
Tempe, AZ 85284-4558

Phone

(480) 756-2600

Fax

(480) 756-2530

NPI assigned

Oct 19, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: 1tberry@acnc0002.direct.chirotouch.md

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629067806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1761 E WARNER RD",
            "address_2": "STE. A17",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852844558",
            "telephone_number": "480-756-2600",
            "fax_number": "480-756-2530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1761 E WARNER RD",
            "address_2": "STE. A17",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852844558",
            "telephone_number": "480-756-2600",
            "fax_number": "480-756-2530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "TREVOR",
        "middle_name": "SEAN",
        "credential": "D.C., D.A.C.N.B.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "AZ",
            "license": "5648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AZ",
            "identifier": "AZ 0243810",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMP.",
            "identifier": "28071104",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "641432",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolyn Berry
• Elena Berry, FNP-BC
• Lauren Berry, MT-BC
• Omar Berry, RBT
• Sharli Berry, LPC
• Tanner John Berschel
• Julie Bertoni, CFY-SLP
• Lea Bertoni
• Adriana Susana Berusch Gerardino, NMD
• Eva R Besmanoff, LCSW

• Neurology Chiropractor in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Neurology Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.