Individual
MICHAEL H BERLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
751 S BASCOM AVE, PM&R DEPT, SAN JOSE, CA 95128-2604
(408) 885-2021
Mailing address
751 S BASCOM AVE, SAN JOSE, CA 95128-2604
(408) 885-5000
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
G48188
CA
2081P0004X
Spinal Cord Injury Medicine Physician
Primary
G48188
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G481880
—
CA
Enumeration date
02/09/2006
Last updated
09/11/2025
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