ELLIOTT BERRY MD
NPI 1154071835
Student in an Organized Health Care Education/Training Program in Jefferson, LA

Active since March 25, 2022PECOS Enrolled
1401A JEFFERSON HWY, JEFFERSON, LA 70121(504) 842-3260(504) 842-3193 Get Directions Write a Review

NPPES record last updated: June 25, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Elliott Berry Md NPPES

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

ELLIOTT BERRY MD (NPI 1154071835) is an individual student in an organized health care education/training program in Jefferson, Louisiana and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154071835
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameELLIOTT BERRYCredential: MD
Location Address1401A JEFFERSON HWYJefferson, LA 70121-2426
Mailing Address1401a Jefferson HwyJefferson, LA 70121-2426 · (504) 842-3260 · Fax (504) 842-3193
Fax(504) 842-3193
Sole ProprietorYes
Enumeration DateMarch 25, 2022
Last NPPES UpdateJune 25, 2026
NPPES CertifiedJune 25, 2026
NPI 1154071835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1401A JEFFERSON HWY, Jefferson, LA 70121

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Elliott Berry Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Anesthesiology
1401A JEFFERSON HWY
JEFFERSON, LA 70121
Student in an Organized Health Care Education/Training Program
1401A JEFFERSON HWY
NEW ORLEANS, LA 70121
Student in an Organized Health Care Education/Training Program
1401A JEFFERSON HWY
JEFFERSON, LA 70121
Student in an Organized Health Care Education/Training Program
1401A JEFFERSON HWY
JEFFERSON, LA 70121
Student in an Organized Health Care Education/Training Program
1401A JEFFERSON HWY
JEFFERSON, LA 70121
Student in an Organized Health Care Education/Training Program
1401A JEFFERSON HWY
JEFFERSON, LA 70121
Student in an Organized Health Care Education/Training Program
1401A JEFFERSON HWY
JEFFERSON, LA 70121
Student in an Organized Health Care Education/Training Program
1401A JEFFERSON HWY
JEFFERSON, LA 70121

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elliott Berry's NPI number?

The NPI number for Elliott Berry is 1154071835. It was assigned to this individual provider in the NPPES registry on March 25, 2022.

Where is Elliott Berry located?

Elliott Berry practices at 1401A Jefferson Hwy, Jefferson, LA 70121. The listed phone number is (504) 842-3260.

What is Elliott Berry's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Elliott Berry enrolled in Medicare?

Yes. Elliott Berry is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Elliott Berry was last updated on June 25, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.