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GRANT WILSON BERRY M.D. NPI 1174815021


NPI Information

NPI: 1174815021
Provider Name: GRANT WILSON BERRY, M.D.
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual
Organization: NORTHWEST EMERGENCY PHYSICIANS LLC

PECOS Registration: Yes

Address:
2100 W SUNSET DR
RIVERTON, WY
ZIP 82501
Phone: (307) 857-3445
Get Directions

Grant Wilson Berry, M.D. is an emergency medicine in Riverton, WY with 13 years of experience. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. Grant Wilson Berry, M.D. NPI is 1174815021. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduation Year:2011

The provider's business location address is:

2100 W SUNSET DR
RIVERTON, WY
ZIP 82501-274
Phone: (307) 857-3445

The NPI 1174815021 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 5/11/2011 and was last updated on 10/13/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207P00000XEmergency MedicineMD043197DISTRICT OF COLUMBIANo
2207P00000XEmergency Medicine10598AWYOMINGYes

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: 11/14/2023

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.