ANDREW H BERRY DO PC NPI 1922237908

NPI Information

NPI: 1922237908
Provider Name: ANDREW H BERRY DO PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
522 W COMMERCE RD
COMMERCE TWP, MI
ZIP 48382
Phone: (248) 363-7123
Get Directions

ANDREW H BERRY DO PC is a family medicine in Commerce Twp, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ANDREW H BERRY DO PC NPI is 1922237908. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

522 W COMMERCE RD
COMMERCE TWP, MI
ZIP 48382-923
Phone: (248) 363-7123
Fax: (248) 363-5890

The provider's authorized official is Andrew Henry Berry .
The authorized official title is Owner and has the following contact phone number (248) 363-7123.

The enumeration date for this NPI number is 7/10/2009 and was last updated on 6/21/2018.

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
1	207Q00000X	Family Medicine		5101004123	MICHIGAN	Yes

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
1	118-1	OTHER	MICHIGAN	TOTAL HEALTH CARE
2	169643-01	OTHER	MICHIGAN	UNITED HEALTH CARE
3	5707266	OTHER		AETNA
4	E25466	OTHER		HAP
5	1006878-11	MEDICAID	MICHIGAN
6	5630142	OTHER	MICHIGAN	BLUE CARE NETWORK
7	=========	OTHER	MICHIGAN	TRICARE
8	0856301	OTHER	MICHIGAN	HEALTH PLUS
9	106153	OTHER		PRIORITY HEALTH
10	=========	OTHER	MICHIGAN	DMC
11	1024847	OTHER		MCLAREN HEALTH PLAN
12	5630142	OTHER	MICHIGAN	BLUE CROSS BLUE SHIELD MICHIGAN
13	1006878-11	OTHER	MICHIGAN	MOLINA
14	104752	OTHER	MICHIGAN	GREAT LAKES HEALTH PLAN
15	=========	OTHER		COFINITY

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

NPI Synchronization or Removal

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