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SALLY M BERRYMAN MD NPI 1124192141


NPI Information

NPI: 1124192141
Provider Name: SALLY M BERRYMAN, MD
Classification: Obstetrics & Gynecology - 207VX0000X
Entity Type: Individual

Specialization: Obstetrics

Address:
1600 N GRAND AVE
SUITE 400
PUEBLO, CO
ZIP 81003
Phone: (719) 543-4000
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Sally M Berryman, MD is an obstetrics obstetrics gynecology in Pueblo, CO. The provider is a physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee Sally M Berryman, MD NPI is 1124192141. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1600 N GRAND AVE
SUITE 400
PUEBLO, CO
ZIP 81003-700
Phone: (719) 543-4000
Fax: (719) 543-1041

The enumeration date for this NPI number is 11/20/2006 and was last updated on 7/8/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207VX0000XObstetrics & GynecologyObstetrics28181COLORADOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G09180MEDICARE UPINCOLORADO
277306732MEDICAIDCOLORADO

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

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