MEDICARE: DR. CRYSTAL BERRY-ROBERTS 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	207VG0400X	Gynecology Physician	P9304	TX
2	207VX0000X	Obstetrics Physician	P9304	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821319468
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CRYSTAL BERRY-ROBERTS M.D.

Provider Business Mailing Address
First Line	:	4515 SETON CENTER PKWY
Second Line	:	SUITE 215-CREDENTIALING
City	:	AUSTIN
State	:	TX
Zip	:	78759-5785
Country	:	US
Telephone Number	:	512-231-5548
Fax Number	:	512-406-6216

Provider Business Practice Location Address
First Line	:	4315 JAMES CASEY ST STE 200
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78745-3364
Country	:	US
Telephone Number	:	512-383-9752
Fax Number	:	512-406-7333

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

Provider Enumeration Date	:	06/17/2010
Last Update Date	:	02/17/2026

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Directions to “ DR. CRYSTAL BERRY-ROBERTS M.D.” Practice Location

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