Organization
RHEUMATOLOGY SERVICES MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN BERRY M.D. (MANAGING PARTNER)
(661) 695-8385
Entity
Organization
Contact information
Practice address
8329 BRIMHALL RD STE 801, BAKERSFIELD, CA 93312-2243
(661) 695-8385
(661) 679-6801
Mailing address
8329 BRIMHALL RD STE 101, BAKERSFIELD, CA 93312-2243
(661) 695-8385
(661) 679-6801
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
20A11715
CA
207RR0500X
Rheumatology Physician
Primary
G29499
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0101340
—
CA
01
—
DT5405
MEDICARE RAILROAD
CA
01
—
GU585A
MEDICARE PTAN
CA
Enumeration date
09/21/2012
Last updated
09/27/2018
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