PHILLIP L. BERRY (NPI# 1568428571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568428571 |
| Entity Type | Individual |
| Full Name | PHILLIP L. BERRY |
| Credential | MD |
| Practice Address |
1301 Barbara Jordan Blvd Ste 200 Austin TX 78723-3078 |
| Practice Telephone | 5126281860 |
| Practice Fax Number | 5126281861 |
| Mailing Telephone | 5126281860 |
| Mailing Fax Number | 5126281861 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2013-04-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0210X |
Pediatrics Specialization: Pediatric Nephrology |
E2466 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 134858304 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114032539 | Phillip Ray Berry | Family Medicine | 1145 S Utica Ave, Suite 453, Tulsa, OK 74104-4000 | 2006-08-19 |
| Street Address |
1301 BARBARA JORDAN BLVD STE 200 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78723-3078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093781676 | Elizabeth Christine Tyler-kabara | Specialist | 1301 Barbara Jordan Blvd Ste 200, Austin, TX 78723-3078 | 2006-02-24 |
| 1134765480 | Laura Kerr | Nurse Practitioner | 1301 Barbara Jordan Blvd Ste 200, Austin, TX 78723-3078 | 2019-11-21 |
| 1215588975 | Courtney Capri Conlon | Nurse Practitioner | 1301 Barbara Jordan Blvd Ste 200, Austin, TX 78723-3078 | 2019-09-24 |
| 1700440179 | Hadyn Noelle Standish | Nurse Practitioner | 1301 Barbara Jordan Blvd Ste 200, Austin, TX 78723-3078 | 2019-04-30 |
| 1538562178 | Eleonor April Jones | Nurse Practitioner | 1301 Barbara Jordan Blvd Ste 200, Austin, TX 78723-3078 | 2014-09-26 |
| 1205276623 | Sireesha Chinthaparthi | Psychiatry & Neurology | 1301 Barbara Jordan Blvd Ste 200, Austin, TX 78723-3078 | 2013-06-29 |
| 1265781496 | Chantal Lucia Casadonte | Pediatrics | 1301 Barbara Jordan Blvd Ste 200, Austin, TX 78723-3078 | 2012-09-04 |
| 1144588799 | Janet Ellen Orrock | Pediatrics | 1301 Barbara Jordan Blvd Ste 200, Austin, TX 78723 | 2012-05-01 |
| 1558659060 | Dianna Evelyn Yip | Pediatrics | 1301 Barbara Jordan Blvd Ste 200, Austin, TX 78723-3078 | 2011-07-18 |
| 1982992038 | Olivia Martino | Nurse Practitioner | 1301 Barbara Jordan Blvd Ste 200, Austin, TX 78723 | 2011-07-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144787318 | Bridget Wilson | Counselor | 6448 East Hwy 290, Suite F108, Austin, TX 78723 | 2019-02-25 |
| 1700378999 | Andrew Christopher Shanks | Counselor | 2132 Antone St, Austin, TX 78723 | 2018-06-04 |
| 1316434236 | Yasaman Ahmadieh | Pediatrics | 4900 Mueller Boulevard, Suite 3s.066c, Austin, TX 78723 | 2018-04-16 |
| 1215433354 | Erika Senai Ramirez | Nurse Practitioner | 6900 Ed Bluestein Blvd, Austin, TX 78723 | 2018-04-05 |
| 1518477645 | Brigitte Tyree | Registered Nurse | 2237 Zach Scott St, Austin, TX 78723 | 2017-10-03 |
| 1942735980 | Ila Sehgal | Pediatrics | 4900 Mueller Blvd, Ste 3s.066c, Dell Children's Medical Center, Austin, TX 78723 | 2017-04-27 |
| 1851825194 | Terry Blackmon | Behavioral Analyst | 2021 Zach Scott St, Austin, TX 78723 | 2017-04-13 |
| 1114337961 | Cassandra Sorensen | Home Health | 3001 Maplelawn Circle, Austin, TX 78723 | 2014-05-02 |
| 1336569052 | Ricky C Mehta | Internal Medicine | 6210 E Hwy 290 Ste 420, Austin, TX 78723 | 2014-04-21 |
| 1356761373 | Peter Caldwell Gilbreath | Pediatrics | 4900 Mueller Boulevard, Suite 3s.066c, Dell Children's Medical Center, Austin, TX 78723 | 2014-04-17 |
| Find all providers in zip 78723 | ||||
| Taxonomy Code | 2080P0210X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Nephrology |
| A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194053496 | Jack Moncrief Group, Pa | Pediatrics | 800 West 34th Street, Suite 101, Austin, TX 78705 | 2009-11-24 |
| 1770775728 | Kartik Pillutla | Pediatrics | 1301 Barbara Jordan Blvd, Suite #200, Austin, TX 78723-3077 | 2007-08-14 |
| 1386678993 | David H. Simon | Pediatrics | 1301 Barbara Jordan Blvd Ste 200, Austin, TX 78723-3078 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265859755 | Peace Dorothy Imani | Pediatrics | 1102 Bates Ave., Baylor College of Medicine, Houston, Tx, TX 77030 | 2014-03-24 |
| 1356762256 | L. L. Hill | Pediatrics | 4906 Tilbury, Houston, TX 77056-2214 | 2013-12-18 |
| 1154640324 | Khurrum Siddique | Pediatrics | 2821 Michaelangelo Dr Ste 101, Edinburg, TX 78539-1411 | 2010-05-26 |
| 1922272236 | Alvaro Hernando Orjuela | Pediatrics | 1102 Bates Ave Ste 260, Houston, TX 77030-2619 | 2008-04-17 |
| 1417157215 | Catherine Joseph | Pediatrics | 1102 Bates Ave Ste 245, Houston, TX 77030-2619 | 2007-07-19 |
| 1003916172 | Jose F Pascual-baralt | Pediatrics | 7419 Round Mtn, San Antonio, TX 78255-1159 | 2006-09-25 |
| 1962519033 | Mazen Arar | Pediatrics | 333 N Santa Rosa, 2nd Fl, San Antonio, TX 78207 | 2006-08-24 |
| 1376905596 | Caroline Elizabeth Jarrell | Pediatrics | 6701 Fannin St, Houston, TX 77030-2608 | 2016-03-26 |
| 1093154379 | Ali Kareem Kurady | Pediatrics | 1901 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2013-06-19 |
| 1427497163 | Bandana Paudyal-nepal | Pediatrics | 333 N Santa Rosa St, San Antonio, TX 78207-3108 | 2013-06-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.