THOMAS CHRISTOPHER BERRY, MD - NPI NUMBER 1609094309

Summary

Provider Name: THOMAS CHRISTOPHER BERRY, MD

NPI Number: 1609094309

Clasification: Surgery (208600000X)

Organization: LAFOURCHE PARISH HOSPITAL SERVICE DISTRICT #1

Address:
1302 LAKEWOOD DRIVE
SUITE 102
MORGAN CITY, LA
ZIP 70380

Phone Number: (985) 384-3433



Detailed Information

Thomas Christopher Berry, MD is a surgeon in Morgan City, LA with 11 years of experience. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. The assigned NPI number for this provider is 1609094309 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduation Year: 2003

The provider's business address is:

1302 LAKEWOOD DRIVE
SUITE 102
MORGAN CITY, LA
ZIP 70380-886
Phone: (985) 384-3433
Fax: (985) 384-3453

The enumeration date for this NPI number is 4/20/2007 and was last updated on 6/24/2013.

Map - Location of Practice

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Taxonomy Codes

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 208600000X Surgery MD2020161 LA Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 1178608 MEDICAID LA
2 4N172 MEDICARE PIN LA

NPI Record

No. Field Name Field Value
1 NPI 1609094309
2 Entity Type Code 1
3 Provider Last Name Legal Name BERRY
4 Provider First Name THOMAS
5 Provider Middle Name CHRISTOPHER
6 Provider Credential Text MD
7 Provider First Line Business Practice Location Address 1302 LAKEWOOD DRIVE
8 Provider Second Line Business Practice Location Address SUITE 102
9 Provider Business Practice Location Address City Name MORGAN CITY
10 Provider Business Practice Location Address State Name LA
11 Provider Business Practice Location Address Postal Code 703801886
12 Provider Business Practice Location Address Country Code If outside U S US
13 Provider Business Practice Location Address Telephone Number 9853843433
14 Provider Business Practice Location Address Fax Number 9853843453
15 Provider Enumeration Date 4/20/2007
16 Last Update Date 6/24/2013
17 Provider Gender Code M
18 Healthcare Provider Taxonomy Code 1 208600000X
19 Provider License Number 1 MD2020161
20 Provider License Number State Code 1 LA
21 Healthcare Provider Primary Taxonomy Switch 1 Y
22 Other Provider Identifier 1 1178608
23 Other Provider Identifier Type Code 1 05
24 Other Provider Identifier State 1 LA
25 Other Provider Identifier 2 4N172
26 Other Provider Identifier Type Code 2 08
27 Other Provider Identifier State 2 LA
28 Is Sole Proprietor Y

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This page was last updated on: 8/12/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.