Neil Mask Berry (NPI# 1063512887, PAC ID# 3678711835) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1063512887 |
| PAC ID by PECOS | 3678711835 |
| Professional Enrollment ID | I20170708000112 |
| Full Name | Neil Mask Berry |
| Organization Legal Name | DISCOVERY MEDICAL NETWORK HENRIETTA LLC |
| Address |
412 W S St Ccmh Henrietta TX 76365-3348 |
| Phone Number | 9402353403 |
| Gender | M |
| Graduation Year | 1976 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | OSTEOPATHIC MANIPULATIVE MEDICINE |
| Group Practice PAC ID | 7517193196 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 451362 | CLAY COUNTY MEMORIAL HOSPITAL |
| 450010 | UNITED REGIONAL HEALTH CARE SYSTEM |
| 450241 | FAITH COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 412 W S St, Ccmh, Henrietta, TX 76365-3348 | 9402353403 | DISCOVERY MEDICAL NETWORK HENRIETTA LLC |
| Organization Legal Name | DISCOVERY MEDICAL NETWORK HENRIETTA LLC |
| Physicians | 1 |
| Street Address |
412 W S ST CCMH |
| City | HENRIETTA |
| State | TX |
| Zip | 76365-3348 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael A Mitchell | Family Medicine | 100 S Archer St, Henrietta, TX 76365-2746 | |
| Anas Albrejawi Alhomsi | Family Medicine | Concord Medical Group Pllc | 310 W S St, Henrietta, TX 76365-3346 |
| Sergio E Venegas | Physician Assistant | Concord Medical Group Pllc | 310 W S St, Henrietta, TX 76365-3346 |
| Thomas David Greer | Family Medicine | Concord Medical Group Pllc | 310 W S St, Henrietta, TX 76365-3346 |
| Timothy R Tappana | Internal Medicine | Concord Medical Group Pllc | 310 W S St, Henrietta, TX 76365-3346 |
| Matthew David Lewis | Family Medicine | Concord Medical Group Pllc | 310 W S St, Henrietta, TX 76365-3346 |
| James Allen Clark | Emergency Medicine | Concord Medical Group Pllc | 310 W S St, Henrietta, TX 76365-3346 |
| Eric Lee Madarang | Internal Medicine | Concord Medical Group Pllc | 310 W S St, Henrietta, TX 76365-3346 |
| Crhistian Noemi Guerrero | Family Medicine | Concord Medical Group Pllc | 310 W S St, Henrietta, TX 76365-3346 |
| Wyman O Gilmore Iii | Family Medicine | Concord Medical Group Pllc | 310 W S St, Henrietta, TX 76365-3346 |
| Find all physicians in zip 76365 | |||
| City | HENRIETTA |
| Zip Code | 76365 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | HENRIETTA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Neil Mask Berry.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.