DR. GLENN EDWARD BERRY (NPI# 1962578831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962578831 |
| Entity Type | Individual |
| Full Name | DR. GLENN EDWARD BERRY |
| Credential | M.D. |
| Practice Address |
Oj Baker At Reda Bland Evans Prairie View TX 77446 |
| Mailing Address |
Po Box 457 Prairie View TX 77446-0457 |
| Practice Telephone | 9368572511 |
| Practice Fax Number | 9368574999 |
| Mailing Telephone | 9368572511 |
| Mailing Fax Number | 9368574999 |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | H1689 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376878108 | Glenn Berry | Physical Therapist | 1921 Stonecipher Blvd, Ada, OK 74820 | 2009-10-13 |
| Street Address |
OJ BAKER AT REDA BLAND EVANS |
| City | PRAIRIE VIEW |
| State | TX |
| Zip Code | 77446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841825239 | Maryellen Hole | Specialist/Technologist | 1600 Stadium Drive, Prairie View, TX 77446 | 2020-03-06 |
| 1063059350 | Kayla Martinez Johnson | Psychologist | 1125 Reda Bland Evans St, Prairie View, TX 77446 | 2019-12-05 |
| 1063940369 | Ruth Smith | Nurse Practitioner | 1125 Reda Bland Evans Street, Owens-franklin Health Center, Prairie View A&m Universi, Prairie View, TX 77446 | 2017-05-31 |
| 1013327253 | Amor Supply | Durable Medical Equipment & Medical Supplies | 20707 Emerald Dr., Prairie View, TX 77446 | 2014-04-28 |
| 1295079317 | Star of Texas Home Health LLC | Home Health | 509 Ellen Powell Dr, Prairie View, TX 77446 | 2012-11-15 |
| 1649579533 | Owens Franklin Health Center, Prairie View A&m University | Clinic/Center | Ofhc, Reda Bland Evans @ O. J. Baker Street, Prairie View A&m University, Prairie View, TX 77446 | 2011-03-18 |
| 1316101009 | Sarah B Williams | Social Worker | 205 Hill St, Prairie View, TX 77446 | 2008-07-11 |
| 1689725723 | Christopher Ethan Bartholomew | Dentist | 528 Bus Hwy 290, Prairie View, TX 77446 | 2007-01-16 |
| 1639239874 | Prairie View A&m University | Clinic/Center | 1125 Reda Bland & Oj Baker St, Prairie View, TX 77446 | 2006-12-11 |
| 1790850691 | Fort Bend Family Health Center, Inc. | Clinic/Center | Reda Bland Evans At O.j. Baker Street, Owen Franklin Health Ctr, 2nd Fl., Prairie View A&m, Prairie View, TX 77446 | 2006-11-24 |
| Find all providers in zip 77446 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295334936 | Samantha H. Goodman, Md, Pllc | Internal Medicine | 3926 S Treadaway Blvd Ste B2, Abilene, TX 79602-6939 | 2020-10-23 |
| 1750989109 | 3d Regeneration LLC | Internal Medicine | 11610 Bee Caves Rd Ste 230, Austin, TX 78738-5457 | 2020-10-16 |
| 1174121552 | Taiwo Kuye, Md Pa | Internal Medicine | 7135 N Expressway 77 Ste C, Olmito, TX 78575-5204 | 2020-10-16 |
| 1760080014 | Stephanie Kennedy | Internal Medicine | 503 E Sonterra Blvd, San Antonio, TX 78258-4058 | 2020-10-09 |
| 1588262711 | Medicus Internal Medicine & Primary Care Pllc | Internal Medicine | 2822 Dogwood Terrace Ln, Katy, TX 77494-7166 | 2020-10-09 |
| 1588261002 | Cardiac Rhythm Center Pllc | Internal Medicine | 2527 Gramercy St, Houston, TX 77030-3107 | 2020-10-07 |
| 1982210571 | Kim L Rowlands | Internal Medicine | 6101 E Oltorf, None, Austin, TX 78704-7875 | 2020-09-18 |
| 1891301438 | Primary Care of Houston Pllc | Internal Medicine | 19255 Park Row Ste 204b, Houston, TX 77084-7310 | 2020-09-18 |
| 1225644065 | Seton Family of Doctors | Internal Medicine | 3001 Palm Way, D1 : 134-138, Austin, TX 78758 | 2020-09-17 |
| 1528674561 | Knight Doctor Pllc | Internal Medicine | 1401 Eva St Apt 304, Austin, TX 78704-3069 | 2020-09-16 |
| Find all providers with the same taxonomy | ||||
| City | PRAIRIE VIEW |
| Zip Code | 77446 |
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| 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.