Healthcare Provider Details

I. General information

NPI: 1427170323
Provider Name (Legal Business Name): RODNEY L BERKEY III DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/04/2007
Last Update Date: 04/14/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3295 N DRINKWATER BLVD SUITE 8
SCOTTSDALE AZ
85251-6437
US

IV. Provider business mailing address

3295 N DRINKWATER BLVD SUITE 8
SCOTTSDALE AZ
85251-6437
US

V. Phone/Fax

Practice location:
  • Phone: 480-941-0675
  • Fax:
Mailing address:
  • Phone: 480-941-0675
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number211
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: