# WILLIAM COLEMAN EVANS BERRY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1700312915
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 01086407A | IN | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | MDR-7275 | HI | — |
| 390200000X | Student in an Organized Health Care Education/Training Program | MTL004541 | DC | — |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | HI | — |

## Other

- **Enumeration date:** 05/08/2017
- **Last updated:** 03/03/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000001586524 | ANTHEM PTAN | IN |
| 05 | — | 300053998 | — | IN |