BARRY BERCH MD NPI 1124175013

NPI Information

  • NPI: 1124175013
  • Provider Name: BARRY BERCH, MD
  • Classification: Surgery - 2086S0120X
  • Specialization: Pediatric Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2500 N STATE ST
    JACKSON, MS
    ZIP 39216
  • Phone: (601) 984-5050

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NPI Details

Barry Berch, MD is a pediatric surgery surgery in Jackson, MS. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. Barry Berch, MD NPI is 1124175013. 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:

2500 N STATE ST
JACKSON, MS
ZIP 39216-500
Phone: (601) 984-5050

The NPI 1124175013 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/4/2007 and was last updated on 4/27/2021.

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
12086S0120XSurgeryPediatric Surgery20556MISSISSIPPIYes
22086S0120XSurgeryPediatric Surgery32773OKLAHOMANo

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
1170338MEDICAIDALABAMA
202880728MEDICAIDMISSISSIPPI

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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