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1871738831

NPI Code Detail

MEDICARE: DR. PAUL ANTHONY BERRY MD

MEDICARE: DR. PAUL ANTHONY BERRY MD

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	208200000X	Plastic Surgery Physician	N1552	TX
2	208200000X	Plastic Surgery Physician	ME169780	FL
3	2082S0099X	Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician	N1552	TX
4	2082S0105X	Surgery of the Hand (Plastic Surgery) Physician	N1552	TX
5	2086S0122X	Plastic and Reconstructive Surgery Physician	N1552	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	8KL198	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1871738831
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL ANTHONY BERRY MD

Provider Business Mailing Address
First Line	:	PO BOX 749
Second Line	:
City	:	PHARR
State	:	TX
Zip	:	78577-1614
Country	:	US
Telephone Number	:	956-362-8160
Fax Number	:	956-362-8169

Provider Business Practice Location Address
First Line	:	1100 E DOVE AVE STE 400
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78504-4684
Country	:	US
Telephone Number	:	956-362-8160
Fax Number	:	956-362-8169

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

Provider Enumeration Date	:	12/04/2008
Last Update Date	:	01/20/2025

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Directions to “ DR. PAUL ANTHONY BERRY MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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