Active NPI
Berry Pediatrics PLLC
- Primary Care Clinic/Center
- Glendive, MT
National Provider Identifier
1831075076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- BERRY PEDIATRICS PLLC
- Practice address
- 112 S Kendrick Ave
Glendive, MT 59330-1627 - Phone
- (406) 344-8278
- Fax
- (406) 831-5449
- NPI assigned
- Aug 13, 2025
- Last updated
- Sep 30, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ericca Berry, DNP, CPNP
- Title
- Owner / Ped. Nurse Practitioner
- Phone
- (406) 344-8278
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Registered Nurse | 163WP0200X | NU | ||
| Primary Care Clinic/Center | 261QP2300X | NU | Primary |
Addresses
Primary practice location
112 S Kendrick Ave
Glendive, MT 59330-1627
Mailing address
112 S Kendrick Ave
Glendive, MT 59330-1627
Phone (406) 344-8278
National Provider Directory
National Provider DirectoryLocations
100 S Merrill Ave
Ste 9
Glendive, MT 59330
Phone (406) 344-8278
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pediatric Nurse Practitioner
- Glendive, MT
- NPI 1659374130
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790726400000",
"number": "1831075076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 S KENDRICK AVE",
"city": "GLENDIVE",
"state": "MT",
"postal_code": "593301627",
"telephone_number": "406-344-8278",
"fax_number": "406-831-5449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 S KENDRICK AVE",
"city": "GLENDIVE",
"state": "MT",
"postal_code": "593301627",
"telephone_number": "406-344-8278",
"fax_number": "406-831-5449"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BERRY PEDIATRICS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-13",
"last_updated": "2026-09-30",
"certification_date": "2026-09-30",
"status": "A",
"authorized_official_last_name": "BERRY",
"authorized_official_first_name": "ERICCA",
"authorized_official_title_or_position": "OWNER / PED. NURSE PRACTITIONER",
"authorized_official_telephone_number": "406-344-8278",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DNP, CPNP"
},
"taxonomies": [
{
"code": "163WP0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pediatrics",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendive, MT
- Albertsons LLC (Osco Pharmacy #4023)
- Donald Bauman, LAC
- Jessica Beacom
- Ericca S Berry, DNP, CPNP
- Virginia Berube, LAC
- Bighorn Valley Health Center, Incorporated (One Health Pharmacy - Glendive)
- Bighorn Valley Health Center, Incorporated (One Health-Glendive)
- Bighorn Valley Health Center, Incorporated (One Health-Dawson Community College School Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.