Physician Compare National (NPI:1033194527)

HEALTHCARE PROVIDER: MICHELLE D BERRY D.O

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1033194527
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6608787304
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090504000314
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BERRY
	Individual professional last name
Provider First Name	MICHELLE
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
	Individual professional's medical school
Graduation Year	1990
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	GENERAL SURGERY
	First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2	OSTEOPATHIC MANIPULATIVE MEDICINE
	Second secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 3	PREVENTATIVE MEDICINE
	Third secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	GENERAL SURGERY, OSTEOPATHIC MANIPULATIVE MEDICINE, PREVENTATIVE MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	1201 S MAIN ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 110
	Group Practice or individual's line 2 address
City	BOERNE
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	780062838
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y