MEDICARE: JULIA DENISE BERRY M.D.

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	207ZN0500X	Neuropathology Physician	701709	TN
2	207ZP0213X	Pediatric Pathology Physician	70109	TN
3	207ZP0213X	Pediatric Pathology Physician	T1299	TX
4	390200000X	Student in an Organized Health Care Education/Training Program
5	207ZP0101X	Anatomic Pathology Physician	70109	TN

General Provider Information

NPI Number	:	1356738058
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIA DENISE BERRY M.D.

Provider Business Mailing Address
First Line	:	3841 GREEN HILLS VILLAGE DR STE 200
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37215-2691
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3601 THE VANDERBILT CLINIC
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37232-7701
Country	:	US
Telephone Number	:	615-322-5000
Fax Number	:

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

Provider Enumeration Date	:	04/20/2015
Last Update Date	:	03/26/2025

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