MEDICARE: DR. STEVEN G BERRY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	22473	IA
2	207RP1001X	Pulmonary Disease Physician	22473	IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	73008	OTHER	IA	COVENTRY
2	35327	OTHER	IA	MIDLAND'S CHOICE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	25923	OTHER	IA	WELLMARK
5	IA0105	OTHER	IA	UHC OF THE RIVER VALLEY
6	849733	OTHER	IA	UHC

General Provider Information

NPI Number	:	1225014228
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN G BERRY MD

Provider Business Mailing Address
First Line	:	1601 NW 114TH ST
Second Line	:	STE 347
City	:	DES MOINES
State	:	IA
Zip	:	50325-7046
Country	:	US
Telephone Number	:	515-224-1777
Fax Number	:	515-222-0226

Provider Business Practice Location Address
First Line	:	1601 NW 114TH ST
Second Line	:	STE 347
City	:	DES MOINES
State	:	IA
Zip	:	50325-7046
Country	:	US
Telephone Number	:	515-224-1777
Fax Number	:	515-222-0226

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/21/2005
Last Update Date	:	09/11/2025

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Directions to “ DR. STEVEN G BERRY MD” Practice Location

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