Organization Active NPI

Berry Pediatrics PLLC

  • Primary Care Clinic/Center
  • Glendive, MT
National Provider Identifier
1831075076
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Authorized official

Name
Dr. Ericca Berry, DNP, CPNPNPI 1659374130
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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

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.

Verify at the official NPI Registry.