Active NPI
David P Berry, M.D.
- Urology Physician
- Reno, NV
National Provider Identifier
1720179849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 4350
- Practice address
- 699 Sierra Rose Dr Ste a
Reno, NV 89511-2069 - Phone
- (775) 823-8166
- NPI assigned
- Sep 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 4350 | NV | Primary |
Addresses
Primary practice location
699 Sierra Rose Dr Ste a
Reno, NV 89511-2069
Mailing address
699 Sierra Rose Dr Ste a
Reno, NV 89511-2069
Phone (775) 823-8166
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0020-16118 | Medicaid | NV |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4350 | NV | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urology Nevada LTD | Urology | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/19482/brand/1/csg/1/fhir/r4
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720179849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "699 SIERRA ROSE DR STE A",
"city": "RENO",
"state": "NV",
"postal_code": "895112069",
"telephone_number": "775-823-8166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "699 SIERRA ROSE DR STE A",
"city": "RENO",
"state": "NV",
"postal_code": "895112069",
"telephone_number": "775-823-8166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRY",
"first_name": "DAVID",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NV",
"license": "4350",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0020-16118",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.