Robert H Berry, DO

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

30425 Issued in MO

Practice address

6948 E Night Glow Cir
Scottsdale, AZ 85262-7021

Phone

(480) 502-6884

NPI assigned

May 12, 2006

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

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.

• Freeman Neosho Hospital

  • Anesthesiology Physician
  • Neosho, MO
  • NPI 1164451746
  NPD (past)
• Premier Anesthesia of Mississippi LLC

  • Anesthesiology Physician
  • Greenville, MS
  • NPI 1033400197
  NPD (past)
• St John'S Regional Medical Center

  • Anesthesiology Physician
  • Joplin, MO
  • NPI 1700032653
  NPD (past)
• St Johns Regional Medical Center

  • Anesthesiology Physician
  • Joplin, MO
  • NPI 1841240546
  NPD (past)
• Traverse Anesthesia Associates, PC

  • Pain Medicine (Anesthesiology) Physician
  • Traverse City, MI
  • NPI 1013966506
  NPD (past)

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1942250469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6948 E NIGHT GLOW CIR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852627021",
            "telephone_number": "480-502-6884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6948 E NIGHT GLOW CIR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852627021",
            "telephone_number": "480-502-6884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "ROBERT",
        "middle_name": "H",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MO",
            "license": "30425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDS",
            "identifier": "200163087",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "245176904",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher M Bero, PA-C
• Tamara Berlyn Berridge, MS, BS, BA
• Brandon James Berry, PA
• Eryn Leigh Berry, NP-C
• Franklin Morris Berry Sr., PH D
• Sophie Bersoux, M.D.
• Alice Debbie Bertoldo
• Michael Bertolio
• Bertram E Feingold, MD, LTD
• Bertz Professional Corporation

• Anesthesiology Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Anesthesiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.