Berry, Brenda

Berry, Brenda is an individual health care provider with primary practice located at 1290 E Spruce Ave Suite 101, Fresno CA 93720-3371. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Berry, Brenda can be contacted via phone (559) 431-2397.

Contact Information

Primary practice address
1290 E Spruce Ave Suite 101 Fresno CA 93720-3371
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G85561 California

Profile Details

NPI number 1942295381
LBN Legal business name Berry, Brenda
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2005
Last updated May 7th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942295381 NPPES
California MEDICAID 00G855610

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