TERENCE J MCDONNELL MD PROFESSIONAL CORP NPI 1053501320

NPI Information

  • NPI: 1053501320
  • Provider Name: TERENCE J MCDONNELL MD PROFESSIONAL CORP
  • Classification: Orthopaedic Surgery - 207XX0005X
  • Specialization: Sports Medicine
  • Entity Type: Organization
  • Address: 2999 REGENT STREET
    SUITE 710
    BERKELEY, CA
    ZIP 94705
  • Phone: (510) 841-1266

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NPI Details

TERENCE J MCDONNELL MD PROFESSIONAL CORP is a sports medicine orthopaedic surgery in Berkeley, CA. The provider is 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. TERENCE J MCDONNELL MD PROFESSIONAL CORP NPI is 1053501320. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2999 REGENT STREET
SUITE 710
BERKELEY, CA
ZIP 94705-117
Phone: (510) 841-1266
Fax: (510) 841-0423

The provider's authorized official is Terence J Mcdonnell .
The authorized official title is President and has the following contact phone number (510) 841-1266.

The enumeration date for this NPI number is 8/1/2007 and was last updated on 10/13/2016.

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
1207XX0005XOrthopaedic SurgerySports MedicineC326600CALIFORNIAYes

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
1A35020MEDICARE UPINCALIFORNIA
200C326600MEDICARE OSCAR/CERTIFICATIONCALIFORNIA
3ZZZ07015ZMEDICARE PIN

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: 11/21/2025

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