Barry Berch is a Pediatric Surgery in Jackson, Mississippi. Barry Berch practices all healthcare services and medical treatments related to Pediatric Surgery. The NPI Number for Barry Berch is 1124175013. The last update date is 2021-04-27.
Barry Berch's current location address is 2500 N State St, Jackson, Mississippi. You can contact this provider via phone number 6019845050. The mailing address for Barry Berch is 2500 N State St, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Barry Berch |
|---|---|
| Address | 2500 N State St, Jackson, Mississippi |
| Phone Number | 6019845050 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1124175013 |
|---|---|
| Provider Enumeration Date | 2007-01-04 |
| Last Updated Date | 2021-04-27 |
Provider Mailing Address Detail
| Address | 2500 N State St |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392164500 |
| Phone Number | 6019845050 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Surgery |
|---|---|
| Taxonomy | 2086S0120X |
| Licence No | 32773 |
|
Definition: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2880728 | MS | -- | |
| 170338 | AL | -- |
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What is the unique identification code assigned to Barry Berch by the Centers for Medicare & Medicaid Services?
The Barry Berch has been issued the NPI (National Provider Identifier) 1124175013. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Barry Berch located?
The Barry Berch is located at 2500 N State St, Jackson, MS 392164500.
What is the area of specialization for Barry Berch, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Barry Berch is Pediatric Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 2086S0120X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1124175013 to Barry Berch?
The Centers for Medicare & Medicaid Services originally issued the 1124175013 to Barry Berch on 2007-01-04.
When was the information pertaining to Barry Berch most recently updated or revised?
The details related to Barry Berch, including its address, specialty, and other relevant information, were last updated or revised on 2021-04-27.
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