Berryhill Medical PL

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME65994 Issued in FL

Legal business name

BERRYHILL MEDICAL PL

Practice address

4785 N 9TH Ave
Pensacola, FL 32503-2497

Phone

(850) 476-9691

Fax

(850) 476-0777

NPI assigned

Nov 18, 2005

Last updated

Sep 20, 2018By 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

Lisbeth Vernali, MDNPI 1003817685

Title

Owner

Phone

(850) 476-9691

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Berryhill Medical Plaza LLC Former legal business name

Locations

Practitioners 1

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.

• Lisbeth Vernali, MD

  • Pediatrics Physician
  • Pensacola, FL
  • NPI 1003817685
  Authorized official Same address or phone

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537401600000",
    "number": "1639151160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4785 N 9TH AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032497",
            "telephone_number": "850-476-9691",
            "fax_number": "850-476-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4785 N 9TH AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032497",
            "telephone_number": "850-476-9691",
            "fax_number": "850-476-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERRYHILL MEDICAL PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-18",
        "last_updated": "2018-09-20",
        "status": "A",
        "authorized_official_last_name": "VERNALI",
        "authorized_official_first_name": "LISBETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-476-9691",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME65994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "258620701",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "258620700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS AL",
            "identifier": "59083579",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS FL",
            "identifier": "45147",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Berryhill Medical Plaza LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Berryhill Medical Plaza LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jada Berry
• Rodney Allen Berry, PHARMD
• Sharon Berry, LCSW
• Takia L Berry
• Berryhill Medical PL
• Justin Berryman, ATC
• Robert A Berryman, M.A., BCBA
• Adrian Reyes Bersabe, M.D.
• Christian Bersamina
• Michael Bertagnolli, PA-C

• Family Medicine Physician in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; 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.