BEDFORD H. BERREY MD – NPI #1114988409
Surgery

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

BEDFORD BERREY is a surgeon located in JACKSONVILLE, FL. NPPES has assigned the NPI number 1114988409 to BEDFORD BERREY on March 28, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2086X0206X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Surgical Oncology

The NPI profile was previously updated about 6 years ago on Dec 11, 2019. 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 BEDFORD BERREY below.

NPI Profile for
BEDFORD H. BERREY

NPI Number
1114988409
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
BEDFORD H. BERREY
Credentials
MD
Primary location
1301 PALM AVE
JACKSONVILLE, FL 32207-8432
Phone: (904) 202-7300 Fax: (904) 202-7433
1 Other location(s):
1325 San Marco Blvd Ste 200
Jacksonville, FL 32207-8566
Phone: (904) 346-3465
Fax: (904) 396-0388
Mailing address
PO BOX 45278
JACKSONVILLE, FL 32232-5278
Phone: (904) 202-2092 Fax: (904) 393-7603
Sole Proprietor
No
Updated
Certification Date
Dec 11, 2019

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for BEDFORD BERREY

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
OTHERRR CARE200044245
MEDICAIDFL2505126-00
MEDICAIDGA000809718B
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
2086X0206X
- Surgery / Surgical Oncology (Primary)
FL ME74636
207X00000X
- Orthopaedic Surgery
FL ME74636

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.