Healthcare Provider Details

I. General information

NPI: 1992167670
Provider Name (Legal Business Name): BERYL MANNING-GEIST
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2016
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 FRANCIS STREET ASB1 3 608A BRIGHAM AND WOMENS HOSPITAL DEPT OF OBGYN RESIDENCY
BOSTON MA
02115
US

IV. Provider business mailing address

75 FRANCIS STREET ASB1 3 608A BRIGHAM AND WOMENS HOSPITAL DEPT OF OBGYN RESIDENCY
BOSTON MA
02115
US

V. Phone/Fax

Practice location:
  • Phone: 617-732-7801
  • Fax:
Mailing address:
  • Phone: 617-732-7801
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License Number100719
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number100719
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: