PHILLIP R. BERRY D.O. – NPI #1114032539
Family Medicine

The NUCC recommends this code not be used. Choose a more appropriate code.

PHILLIP BERRY is a physician located in TULSA, OK. NPPES has assigned the NPI number 1114032539 to PHILLIP BERRY on August 19, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207QA0505X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Adult Medicine

The NPI profile was previously updated about 19 years ago on Jul 08, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PHILLIP BERRY below.

NPI Profile for
PHILLIP R. BERRY

NPI Number
1114032539
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
PHILLIP R. BERRY
Credentials
D.O.
Primary location
1145 S UTICA AVE
SUITE 453
TULSA, OK 74104-4000
Phone: (918) 596-7078 Fax:
Mailing address
7514 S 107TH EAST AVE
TULSA, OK 74133-2530
Phone: (918) 252-0038 Fax:
Sole Proprietor
Yes
Updated
Identifiers

Identifiers for PHILLIP BERRY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERDHS PRESCRIBER NUMBEROK1203021
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QA0505X
- Family Medicine / Adult Medicine (Primary)
OK 3021

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.