DR. BEDFORD HUDSON BERREY MD NPI 1114988409

NPI Information

NPI: 1114988409
Provider Name: DR. BEDFORD HUDSON BERREY, MD
Classification: Surgery - 2086X0206X
Entity Type: Individual

Specialization: Surgical Oncology

Address:
1301 PALM AVE
JACKSONVILLE, FL
ZIP 32207
Phone: (904) 202-7300
Get Directions

DR. Bedford Hudson Berrey, MD is a surgical oncology surgery in Jacksonville, FL. The provider is 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. DR. Bedford Hudson Berrey, MD NPI is 1114988409. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1301 PALM AVE
JACKSONVILLE, FL
ZIP 32207-432
Phone: (904) 202-7300
Fax: (904) 202-7433

The enumeration date for this NPI number is 3/28/2006 and was last updated on 12/11/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207X00000X	Orthopaedic Surgery		ME74636	FLORIDA	No
2	2086X0206X	Surgery	Surgical Oncology	ME74636	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2505126-00	MEDICAID	FLORIDA
2	000809718B	MEDICAID	GEORGIA
3	200044245	OTHER		RR CARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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