John Christopher Berry, MD
Individual provider Active NPI Pediatrics Physician · Fort Rucker, AL
NPI 1982854790 · NPPES record last updated Aug 3, 2023
Key facts
- NPI
- 1982854790
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 25665 (NE)
- Practice address
- 301 E. Andrews Avenue
Fort Rucker, AL 36362 - Phone
- (334) 255-7120
- NPI assigned
- Sep 29, 2008
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141110001386 | AL | Order and Referring Only - Pediatric Medicine |
2769604693 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25665 | NE | MD | Pediatrics Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 25665 | NE | Yes |
Addresses
Primary practice location
301 E. Andrews Avenue
Fort Rucker, AL 36362
Mailing address
4301 Jones Bridge Rd
Bethesda, MD 20814-4799
Phone (202) 460-1021
Other practice location 1
4301 Jones Bridge Rd
Bethesda, MD 20814-4799
Phone (202) 460-1021
Other providers in Fort Rucker, AL
- Micheal A Benamon
- Jennifer Benincasa
- Jennifer R Bennett
- Joseph Bennett
- Stephen Adam Bernstein
- Shilo Beving
- Amy Bhagaloo
- Raoul Jay Bhatta
- Hosea Tyler Bickerstaff
- Michael A Bishop I
All providers in Fort Rucker, AL · Pediatrics Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.