Berry Medical Care, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

BERRY MEDICAL CARE, PLLC

Practice address

4201 E Berry St
Ste 15
Fort Worth, TX 76105-5053

Phone

(817) 535-8200

Fax

(817) 535-8207

NPI assigned

Mar 12, 2015

Last updated

Mar 12, 2015By 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

Michele Graham

Title

Credentialing Specialist

Phone

(972) 245-1315

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1426118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426118400000",
    "number": "1659764850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 E BERRY ST",
            "address_2": "STE 15",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761055053",
            "telephone_number": "817-535-8200",
            "fax_number": "817-535-8207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 E BERRY ST",
            "address_2": "STE 15",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761055053",
            "telephone_number": "817-535-8200",
            "fax_number": "817-535-8207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERRY MEDICAL CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-12",
        "last_updated": "2015-03-12",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "972-245-1315"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda M Bernstein, M.D.
• Taylor Bernstein, RN, FNP-C
• Nathaniel Ian Berrios, P.A.-C
• Berry Braces, PLLC
• Berry Dental FW PLLC
• Blake Berry, MD
• Hayley Berry
• Lane Michael Berry
• Lindi Renea Berry, AU.D.
• Nikki B. Berry, A.P.R.N.

• Internal Medicine Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2015; 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.