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NPI 1194943522 · live from the CMS NPI Registry

Philip Todd Berry, DO

Family Medicine in Scarbro, WV. National Provider Identifier 1194943522, active.

NPI record

NPI1194943522 Type 1 · individual
StatusActive
Primary specialtyFamily Medicine 207Q00000X
Practice locationRr 2 Box 615a, Scarbro, WV 25917
Practice phone304-388-2525
EnumeratedApril 23, 2007
Last updatedDecember 27, 2016
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Family Medicine primary207Q00000X2120 (WV)
Family Medicine207Q00000X34.012389 (OH)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.