Individual provider Active NPI

Fabian N Berru, MD

  • Family Medicine Physician
  • Albertville, AL
National Provider Identifier
1679278642
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD.49420 Issued in AL
Practice address
312 Sand Mountain Dr E
Albertville, AL 35950-2330
Phone
(321) 439-9438
NPI assigned
Mar 31, 2023
Last updated
Aug 25, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD.49420 AL Primary

Addresses

Primary practice location

312 Sand Mountain Dr E
Albertville, AL 35950-2330

Mailing address

312 Sand Mountain Dr E
Albertville, AL 35950-2330
Phone (256) 849-0440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20230803003303 AL Order and Referring Only - Family PracticePractitioner - Family Practice 3375904543

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.49420ALMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1680220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1679278642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 SAND MOUNTAIN DR E",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "359502330",
            "telephone_number": "256-849-0440",
            "fax_number": "833-468-5230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 SAND MOUNTAIN DR E",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "359502330",
            "telephone_number": "321-439-9438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRU",
        "first_name": "FABIAN",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-31",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "MD.49420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albertville, AL

Sources for this page

Verify at the official NPI Registry.