Individual
BILL G BERRYMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1810 STADIUM DRIVE, #140, PHENIX CITY, AL 36867
(334) 664-1969
(888) 391-2191
Mailing address
1810 STADIUM DRIVE, #140, PHENIX CITY, AL 36867
(334) 214-4616
(334) 214-4618
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
00026975
AL
207L00000X
Anesthesiology Physician
036-071941
IL
207L00000X
Anesthesiology Physician
04-29071
KS
207L00000X
Anesthesiology Physician
058573
GA
207L00000X
Anesthesiology Physician
114982
MO
207L00000X
Anesthesiology Physician
22130
WV
207L00000X
Anesthesiology Physician
4399
AK
207L00000X
Anesthesiology Physician
8798
MT
207L00000X
Anesthesiology Physician
A44553
CA
207L00000X
Anesthesiology Physician
E-3049
AR
207L00000X
Anesthesiology Physician
MD-070139-L
PA
207L00000X
Anesthesiology Physician
ME103218
FL
208D00000X
General Practice Physician
26975
AL
208VP0000X
Pain Medicine Physician
Primary
26975
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1669588463
PAIN MANAGEMENT
—
Enumeration date
08/22/2006
Last updated
10/23/2023
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