ROBERT E. BERRY, DO, PC


Address: 5471 Kearny Villa Rd., Suite 200, San Diego, CA 92123-1143
Phone: 8585710606

ROBERT E. BERRY, DO, PC (NPI# 1285939330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285939330
Entity Type Organization
Organization Name ROBERT E. BERRY, DO, PC
Other Organization Name ROBERT E. BERRY, DO, A PROFESSIONAL CORPORATION
Practice Address 5471 Kearny Villa Rd.
Suite 200
San Diego
CA 92123-1143
Practice Telephone 8585710606
Mailing Telephone 8585710606
Enumeration Date 2011-01-21
Last Update Date 2011-01-21
Authorized Official Name MS. BEVERLY ANN MIZE (CREDENTIALING SPECIALIST)
Authorized Official Telephone 8584279203
Authorized Official Credential RHIT
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XX0005X Orthopaedic Surgery
Specialization: Sports Medicine
20A7616 CA Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Robert E. Berry, DO, A Professional Corporation Other Name - Individual/Organization

Office Location

Street Address 5471 KEARNY VILLA RD.
SUITE 200
City SAN DIEGO
State CA
Zip Code 92123-1143

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932211570 Kent A Feldman Podiatrist 5471 Kearny Villa Rd., Suite 200, San Diego, CA 92123-1143 2006-08-31
1851437792 Tal David, Md, Inc Orthopaedic Surgery 5471 Kearny Villa Rd., Suite 200, San Diego, CA 92123-1143 2007-01-29

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NPI Name Taxonomy Address Enumeration
1669087326 Corina Lozano Manzo Registered Nurse 7436 Mission Center Road, San Diego, CA 92123 2020-09-10
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1023667136 Brittany Meyer Physical Therapist 3020 Children's Waymc5068, San Diego, CA 92123 2019-09-11
1598313272 Ryan Edward Shaw Marriage & Family Therapist 8910 Clairmont Mesa Blvd, San Diego, CA 92123 2019-08-27
1528611910 Tanisha C Fulcher Marriage & Family Therapist 8825 Aero Dr., Ste 315, San Diago, CA 92123 2019-07-24
1245795665 Robin James Pekin Marriage & Family Therapist 4450 Kearny Villa Rd, #116, San Diego, CA 92123 2019-02-11
1174093728 Karen Vences Counselor 8755 Aero Dr Suite 230, San Diego, CA 92123 2018-11-27
1255808465 Natasha Herrera Counselor 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 2018-10-25
1407321987 Maneka Elikewela Behavior Technician 3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123 2018-10-10
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Taxonomy Information

Taxonomy Code 207XX0005X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Sports Medicine

Taxonomy Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629092473 Tal David Orthopaedic Surgery 4910 Directors Pl Ste 350, San Diego, CA 92121-3834 2006-07-26
1518997378 John Charles Austin Orthopaedic Surgery 8901 Activity Rd Ste 205, San Diego, CA 92126-4436 2006-07-04
1982607867 Jonathan J. Myer Orthopaedic Surgery 6719 Alvarado Rd, Ste 200, San Diego, CA 92120-5256 2005-05-24
1104081363 Adnan Cutuk Orthopaedic Surgery 3750 Convoy Street, Suite 116, San Diego, CA 92111-3739 2008-07-26
1548473945 David Thomas Easley Orthopaedic Surgery 3444 Kearny Villa Rd, Suite 202, San Diego, CA 92123-1959 2007-05-08
1326184250 David J. Chao Md, Inc Orthopaedic Surgery 8901 Activity Road, San Diego, CA 92126 2007-01-29
1851437792 Tal David, Md, Inc Orthopaedic Surgery 5471 Kearny Villa Rd., Suite 200, San Diego, CA 92123-1143 2007-01-29
1407904584 William Joseph Previte Orthopaedic Surgery 7525 Linda Vista Rd, Suite C, San Diego, CA 92111-5344 2007-01-08
1730290289 David J Chao Orthopaedic Surgery 8901 Activity Rd, San Diego, CA 92126-4427 2006-08-31
1265543615 Paul C Murphy Orthopaedic Surgery 5471 Kearny Villa Rd Ste 200, San Diego, CA 92123-1143 2006-08-31
Find all providers in SAN DIEGO

Competitor

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City SAN DIEGO
Zip Code 92123

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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