Richard Phillip Berry, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

18450 Issued in OK

Practice address

905 S Main St
Shattuck, OK 73858-9205

Phone

(580) 938-5275

Fax

(580) 938-2256

NPI assigned

Jul 12, 2005

Last updated

Sep 29, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 1, 2017 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Master of Science

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FEDDBA
• Direct secure messaging: richard.berry.1@18318.direct.athenahealth.com
• Direct secure messaging: richard.berry@1028779795677188.direct.elationemr.com
• Direct secure messaging: richard.berry@46580262764548.direct.elationemr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Upfront Health, LLC

  • Family Medicine Physician
  • Seiling, OK
  • NPI 1558187260
  NPD Authorized official
• Newman Physicians' Group, Inc.

  • Family Medicine Physician
  • Shattuck, OK
  • NPI 1316054232
  NPD
• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1669470704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 703",
            "city": "SHATTUCK",
            "state": "OK",
            "postal_code": "738580703",
            "telephone_number": "580-938-5275",
            "fax_number": "580-938-2256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 S MAIN ST",
            "city": "SHATTUCK",
            "state": "OK",
            "postal_code": "738589205",
            "telephone_number": "580-938-5275",
            "fax_number": "580-938-2256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "RICHARD",
        "middle_name": "PHILLIP",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "18450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100137950A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shandy Baggs, ARNP
• Kerie Bay
• Bryan Wesley Bell
• Jennifer L Berends, DO
• Robert Bradley Bunch, RN RNFA
• Kristen A Burris, D.D.S.
• Amy Calhoun-Vasko, APN,CNM
• Jamie L Cameron, D.D.S.
• Lorrie Corbin

• Family Medicine Physician in Shattuck, OK
• Providers in Shattuck, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.