Dr. Michael P Berry
Surgical Oncologist
7945 Wolf River Blvd
Germantown
, Tennessee 38138-1762
Dr. Michael P Berry
Surgical Oncologist
7945 Wolf River Blvd
Germantown
, Tennessee 38138-1762
(901) 685-2969
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About
Features
Specialties
- Surgical Oncologist
Languages spoken
- English
Location
First Address
- Dr. Michael P Berry
- 7714 Poplar Ave Ste 200
- Germantown, TN
- Zip : 38138-3941
- Fax : (901) 685-2969
- Phone : (901) 683-0055
Second Address
- Dr. Michael P Berry
- 7945 Wolf River Blvd
- Germantown, TN
- Zip : 38138-1762
- Phone : (901) 683-0055
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086X0206X | Surgical Oncologist | 36377 | TN |
National Provider Identifier
| NPI | 1144338344 |
|---|---|
| Provider Name | Dr. Michael P Berry |
| First Address | Germantown, TN 38138-3941 |
| Second Address | Germantown, TN 38138-1762 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/08/2006 |
| Last Update Date | 23/10/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 07836597 | (05) | MS |
| 1031029981 | MEDICARE MS (01) | MS |
| 103I917534 | MEDICARE TN (01) | TN |
| 126787001 | (05) | AR |
| 1529828 | (05) | TN |
| F97021 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.