MEDICARE: DAVID BERREY D.O.

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	207R00000X	Internal Medicine Physician	006044	AZ
2	207R00000X	Internal Medicine Physician	4992	OK
3	390200000X	Student in an Organized Health Care Education/Training Program
4	208M00000X	Hospitalist Physician	DO160050	OR

General Provider Information

NPI Number	:	1568604593
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID BERREY D.O.

Provider Business Mailing Address
First Line	:	6101 BLUE LAGOON DR STE 200
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33126-3168
Country	:	US
Telephone Number	:	305-500-2000
Fax Number	:	786-522-9079

Provider Business Practice Location Address
First Line	:	833 N DOBSON RD STE 103
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85201-7593
Country	:	US
Telephone Number	:	480-666-7683
Fax Number	:

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

Provider Enumeration Date	:	04/06/2009
Last Update Date	:	02/19/2026

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