Active NPI
David L. Berry, M.D. PA
- Maternal & Fetal Medicine Physician
- Austin, TX
National Provider Identifier
1699885541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- J1499
- Legal business name
- DAVID L. BERRY, M.D. PA
- Practice address
- 6500 N Mopac
Building 1, Suite 1205
Austin, TX 78731-3282 - Phone
- (512) 206-0101
- Fax
- (512) 206-0212
- NPI assigned
- Aug 30, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Virginia Lynn Nutt
- Title
- Practice Manager
- Phone
- (512) 206-0101
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Maternal & Fetal Medicine Physician | 207VM0101X | J1499 | TX | Primary |
Addresses
Primary practice location
6500 N Mopac
Building 1, Suite 1205
Austin, TX 78731-3282
Mailing address
6500 N Mopac
Building 1, Suite 1205
Austin, TX 78731-3282
Phone (512) 206-0101
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 081281001 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
6500 N Mopac Expy
Bldg 1
Austin, TX 78731
Phone (512) 206-0101
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1309305600000",
"number": "1699885541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6500 N MOPAC",
"address_2": "BUILDING 1, SUITE 1205",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787313282",
"telephone_number": "512-206-0101",
"fax_number": "512-206-0212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6500 N MOPAC",
"address_2": "BUILDING 1, SUITE 1205",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787313282",
"telephone_number": "512-206-0101",
"fax_number": "512-206-0212"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID L. BERRY, M.D. PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-30",
"last_updated": "2011-06-29",
"status": "A",
"authorized_official_last_name": "NUTT",
"authorized_official_first_name": "VIRGINIA",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "512-206-0101",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207VM0101X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "TX",
"license": "J1499",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "081281001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.