MACKENZIE R. BERRY DO – NPI #1750020400
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

MACKENZIE BERRY is a physician located in TINKER AFB, OK. NPPES has assigned the NPI number 1750020400 to MACKENZIE BERRY on June 01, 2022. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 2 years ago on Mar 27, 2024. 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 MACKENZIE BERRY below.

NPI Profile for
MACKENZIE R. BERRY

NPI Number
1750020400
Enumeration Date

(more than 4 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
MACKENZIE R. BERRY
Credentials
DO
Primary location
7050 AIR DEPOT BLVD STE 1094
TINKER AFB, OK 73145-8716
Phone: (405) 734-2778 Fax:
Mailing address
10906 AIRMEN DR
CONVERSE, TX 78109-1400
Phone: (303) 803-3632 Fax:
Sole Proprietor
No
Updated
Certification Date
Mar 27, 2024

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.

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
208D00000X
- General Practice (Primary)
VA 0102208016

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.