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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GRANT WILSON BERRY, M.D.

Active Sole Proprietor

Emergency Medicine · RIVERTON, WY

Registration Details

NPI Number
1174815021
Provider Type
Individual
Gender
Male
NPI Issued
May 11, 2011 (14.945063858655 yrs)
Last Updated
Feb 20, 2023
Licenses
MD043197 (DC)
R5511 (TX)
10598A (WY)
Sole Proprietor
Yes

Practice Information

Address
2100 W SUNSET DR
RIVERTON, WY, 825012274
Browse WY providers · Browse ZIP 82501
Phone
3078573445
Primary Specialty
Emergency Medicine
207P00000X
Additional Specialty
Emergency Medicine
Additional Specialty
Emergency Medicine

Other Emergency Medicine Providers in RIVERTON, WY

Name Credential NPI
DR. THOMAS CARL PRUETT MD 1891804779
ROBERT VELAND DO 1720373111
DR. JASON SHI CHENG D.O. 1922424506
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.