Charles Markham Berry III, M.D.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

MD.013651 Issued in LA

Practice address

42333 Deluxe PLZ
Suite 7
Hammond, LA 70403-1239

Phone

(985) 345-2555

Fax

(985) 345-2837

NPI assigned

May 30, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Obstetrics/Gynecology

Education

Tulane University School of Medicine, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

C. Markham Berry III MD LLCGroup PAC ID 2961537733, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Oaks Medical Center Hospital, Hammond, LA, CCN 190015

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• C. Markham Berry III, M.D., L.L.C.

  • Gynecology Physician
  • Hammond, LA
  • NPI 1215251590

  Gynecology, LA

  Medicare reassignment Care Compare group NPD
• Timothy J. Mooney, M.D., L.L.C.

  • Gynecology Physician
  • Hammond, LA
  • NPI 1740504042

  Gynecology

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• North Oaks Medical Center, LLC

  • Rural Acute Care Hospital
  • Hammond, LA
  • NPI 1144227539

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1117411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269216000000",
    "number": "1740283258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 ROCK BASS CT",
            "city": "MADISONVILLE",
            "state": "LA",
            "postal_code": "704479321",
            "telephone_number": "985-845-1622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42333 DELUXE PLZ",
            "address_2": "SUITE 7",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031239",
            "telephone_number": "985-345-2555",
            "fax_number": "985-345-2837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "CHARLES",
        "middle_name": "MARKHAM",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-30",
        "last_updated": "2010-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "LA",
            "license": "MD.013651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306509",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jody Lynn Bergeron
• Alexander Bernard, DPT
• Jonte Bernard
• Matthew Thomas Bernard, M.D.
• Jodee Bernier, N.P.
• Cary Lynn Berthelot, MA, ATC, LAT
• Kiara S Beverly-Lee, RSW
• Brian Beverly II
• Kimberly Marie Beyer, NP
• Naila M Bhatti

• All providers in Hammond, LA
• Gynecology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.