Richard W. Berry M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

E0814 Issued in TX

Legal business name

RICHARD W. BERRY M.D.

Practice address

631 W 38TH St Ste 3
Austin, TX 78705-1251

Phone

(512) 459-1238

Fax

(512) 459-3557

NPI assigned

Feb 9, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Colin Berry

Title

Office Manager

Phone

(512) 459-1238

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1423440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423440000000",
    "number": "1730570037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 W 38TH ST STE 3",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051251",
            "telephone_number": "512-459-1238",
            "fax_number": "512-459-3557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 W 38TH ST STE 3",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051251",
            "telephone_number": "512-459-1238",
            "fax_number": "512-459-3557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD W. BERRY M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-09",
        "last_updated": "2015-02-09",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "COLIN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "512-459-1238",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "E0814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE PROVIDER LICENSE",
            "identifier": "E0814",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Richard O Temple PHD PLLC (Mind For Sports)
• Richard Stovall MD PA (Neurosurgical Associates of Austin)
• Andrea Lauren Richard, PT
• Kylie Richard
• Analiza Richards
• Andrea M Richards, OT
• Campbell R Richards

• Family Medicine Physician in Austin, TX
• Providers in Austin, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; 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.