Organization Active NPI

David L. Berry, M.D. PA

  • Maternal & Fetal Medicine Physician
  • Austin, TX
National Provider Identifier
1699885541
Registry record updated Jun 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
J1499 Issued in TX
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

Updated by the provider on Jun 29, 2011

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)CodeLicenseStatePrimary
Maternal & Fetal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
081281001MedicaidTX

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.