DR. BEDFORD HUDSON BERREY MD - NPI 1114988409

Q: What is Bedford Berrey's NPI number?

The NPI number for Bedford Berrey is 1114988409. It was assigned to this individual provider in the NPPES registry on March 28, 2006.

Q: What is Bedford Berrey's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Q: When was this NPI record last updated?

The NPPES record for Bedford Berrey was last updated on December 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Dr. Bedford Hudson Berrey Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BEDFORD HUDSON BERREY MD (NPI 1114988409) is an individual surgical oncology provider in Jacksonville, Florida, licensed in Florida (ME74636) and active in the NPI registry since March 2006. He maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1114988409

Entity TypeIndividualMale

Primary Taxonomy2086X0206X

Provider Legal NameDR. BEDFORD HUDSON BERREYCredential: MD

Location Address1301 PALM AVEJacksonville, FL 32207-8432

Mailing AddressPo Box 45278Jacksonville, FL 32232-5278 · (904) 202-2092 · Fax (904) 393-7603

Phone(904) 202-7300

Fax(904) 202-7433

Sole ProprietorNo

Enumeration DateMarch 28, 2006

Last NPPES UpdateDecember 11, 20193 updates tracked since enumeration

✔ NPI 1114988409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2086X0206X

License✔ Licensed in FL · ME74636

Definition

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License ME74636 (FL)

1301 PALM AVE, Jacksonville, FL 32207

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Secondary Practice Location 1

Location 11325 San Marco Blvd Ste 200Jacksonville, FL 32207-8566 · Phone (904) 346-3465 · Fax (904) 396-0388

Other Identifiers 3

Medicaid2505126-00FL

Medicaid000809718BGA

Other200044245Rr Care

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RYAN N PAFFORD MS, MSPAS, PA-C

Physician Assistant