Robert Berry, M.D.

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

181781-8905 Issued in UT

Practice address

5770 South 250 East
Suite 135
Salt Lake City, UT 84107-8241

Phone

(801) 314-2225

Fax

(801) 314-2345

NPI assigned

Mar 16, 2006

Last updated

Sep 18, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• James Bradley Davis, P.A.-C.

  • Physician Assistant
  • Salt Lake City, UT
  • NPI 1922068212
  Medicare reassignment

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.

• Junius Clawson MD PC

  • Orthopaedic Surgery Physician
  • Murray, UT
  • NPI 1700050044
  NPD (past)
• Utah Spine Medicine PC

  • Physical Medicine & Rehabilitation Physician
  • Salt Lake City, UT
  • NPI 1083888457
  NPD (past)

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410998400000",
    "number": "1982673505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5770 SOUTH 250 EAST",
            "address_2": "SUITE 135",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841078241",
            "telephone_number": "801-314-2225",
            "fax_number": "801-314-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5770 SOUTH 250 EAST",
            "address_2": "SUITE 135",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841078241",
            "telephone_number": "801-314-2225",
            "fax_number": "801-314-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2014-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "UT",
            "license": "181781-8905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allie Berry
• Autumn Rae Berry
• Meghan Berry
• Michael Berry, CM
• Noah Berry
• Lori Berryhill
• Kathryn Berryman
• Wesley Bertagnole
• Elin Bertheau
• Brianna Nincolette Berthoin-Hernandez, CCC-SLP

• Orthopaedic Surgery of the Spine Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Orthopaedic Surgery of the Spine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.