Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. TOMMIE RUSSELL BERRY JR., M.D.
Active Sole ProprietorMR. TOMMIE RUSSELL BERRY JR., M.D. is a Physical Medicine & Rehabilitation healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1336567007 is currently active in the NPPES registry. Verify at CMS.
Physical Medicine & Rehabilitation · PHILADELPHIA, PA
Registration Details
- NPI Number
- 1336567007
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 31, 2014 (12.419086521835 yrs)
- Last Updated
- Aug 28, 2024
- Licenses
-
35.137255 (OH)89500 (GA)35.137255 (OH)85696 (SC)MD486652 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3401 N BROAD STPHILADELPHIA, PA, 191405103Browse PA providers · Browse ZIP 19140
- Phone
- 2157073646
- Primary Specialty
-
Physical Medicine & Rehabilitation
208100000X
- Additional Specialty
- Sports Medicine (PM&R)
- Additional Specialty
- Sports Medicine (PM&R)
- Additional Specialty
- Sports Medicine (PM&R)
- Additional Specialty
- Physical Medicine & Rehabilitation
Other Physical Medicine & Rehabilitation Providers in PHILADELPHIA, PA
| Name | Credential | NPI |
|---|---|---|
| DR. MEETA DEVENDRA PEER | M.D. | 1154328136 |
| MR. MICHAEL GUTHRIE | MD | 1295733301 |
| ARELYNE PACHO | MD | 1275534638 |
| ANDREA E BROWN | MD | 1477554731 |
| KERI MARIE LAVIGNE-LANGENSTEIN | MD | 1225020688 |
| MICHAEL M WEINIK | DO | 1497743694 |
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.