Individual provider Active NPI

Reginald Berry, CRNA

  • Certified Registered Nurse Anesthetist
  • Brownsville, TX
National Provider Identifier
1710042197
Registry record updated Jul 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
448907 Issued in TX
Practice address
65 Lakeshore Dr
Brownsville, TX 78521-2602
Phone
(956) 546-4835
Fax
(956) 504-2401
NPI assigned
Dec 26, 2006
Last updated
Jul 15, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 448907 TX Primary

Addresses

Primary practice location

65 Lakeshore Dr
Brownsville, TX 78521-2602

Mailing address

65 Lakeshore Dr
Brownsville, TX 78521-2602
Phone (956) 546-4835

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Amarillo Anesthesia Consultants PA Nurse Anesthetist, Certified Registered Past Accepting new patients
Gulfstream Anesthesia Associates, P. a. Past Accepting new patients
Big Bend Medical Group Nurse Anesthetist, Certified Registered Past Accepting new patients
Anesthesia Healthcare Partners of Laredo, P. a. Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310688000000",
    "number": "1710042197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 LAKESHORE DR",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785212602",
            "telephone_number": "956-546-4835",
            "fax_number": "956-504-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 LAKESHORE DR",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785212602",
            "telephone_number": "956-546-4835",
            "fax_number": "956-504-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "REGINALD",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-26",
        "last_updated": "2011-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "448907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.