Individual
WILLIAM COLEMAN EVANS BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 UNIVERSITY BLVD, INDIANAPOLIS, IN 46202-5149
(317) 944-8231
(317) 948-7300
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01086407A
IN
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
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001586524
ANTHEM PTAN
IN
05
—
300053998
—
IN
Enumeration date
05/08/2017
Last updated
03/03/2025
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