NPIMap

Individual provider Active NPI

Dirk L Berry, MD

  • Nephrology Physician
  • Tuscaloosa, AL
National Provider Identifier
1831282938
Registry record updated Jun 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
000016499 Issued in AL
Practice address
1649 McFarland Blvd N
Suite 203
Tuscaloosa, AL 35406-2281
Phone
(205) 556-5541
Fax
(205) 554-7937
NPI assigned
Oct 2, 2006
Last updated
Jun 9, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 000016499 AL Primary

Addresses

Primary practice location

1649 McFarland Blvd N
Suite 203
Tuscaloosa, AL 35406-2281

Mailing address

1649 McFarland Blvd N
Suite 203
Tuscaloosa, AL 35406-2281
Phone (205) 556-5541

Other identifiers 2

IdentifierTypeStateIssuer
000087432MedicaidAL
51087432OtherALBLUE CROSS/BLUE SHIELD OF ALABAMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100929000854 AL Practitioner - Nephrology 0648273490 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
University of Texas Medical Branch at Galveston, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tuscaloosa Nephrology Associates PCGroup PAC ID 0547280968, 5 clinicians

Practice addresses (Care Compare)

1850 McFarland Blvd N
Tuscaloosa, AL 35406-2138
Phone (205) 556-5541

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
55.4 of 100Reported as individual
Quality
63.8
Improvement activities
0
Cost
68.44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
000016499ALMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tuscaloosa Nephrology Associates PC Nephrology CurrentSince Jan 16, 1996 Accepting new patients
GBR,LLC CurrentSince Jun 26, 2006 Accepting new patients

Locations

1649 McFarland Blvd N
Ste 203
Tuscaloosa, AL 35406
Phone (205) 248-2076

1850 McFarland Blvd N
Tuscaloosa, AL 35406
Phone (205) 556-5541

Interoperability endpoints

  • Direct secure messaging: dirk.berry@direct.davitaphysiciansolutions.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307577600000",
    "number": "1831282938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1649 MCFARLAND BLVD N",
            "address_2": "SUITE 203",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062281",
            "telephone_number": "205-556-5541",
            "fax_number": "205-554-7937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1649 MCFARLAND BLVD N",
            "address_2": "SUITE 203",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062281",
            "telephone_number": "205-556-5541",
            "fax_number": "205-554-7937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "DIRK",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2011-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AL",
            "license": "000016499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000087432",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD OF ALABAMA",
            "identifier": "51087432",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.