Individual
MR. DIRK L BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1649 MCFARLAND BLVD N, SUITE 203, TUSCALOOSA, AL 35406-2281
(205) 556-5541
(205) 554-7937
Mailing address
1649 MCFARLAND BLVD N, SUITE 203, TUSCALOOSA, AL 35406-2281
(205) 556-5541
(205) 554-7937
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
000016499
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000087432
—
AL
01
—
51087432
BLUE CROSS/BLUE SHIELD OF ALABAMA
AL
Enumeration date
10/02/2006
Last updated
06/09/2011
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