BREANNA RENE BERRY D.O.
NPI 1457615189
Family Medicine in Pueblo, CO
About Breanna Rene Berry D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BREANNA RENE BERRY D.O. (NPI 1457615189) is an individual family medicine provider in Pueblo, Colorado, licensed in Colorado (DR.0052880) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Breanna Rene Berry D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Breanna Berry reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Pueblo, CO 81004
- Reassigned Medicare billing, Colorado enrollment
- 137 clinicians in this Medicare group
Canon City, CO 81212
- Reassigned Medicare billing, Colorado enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 81004 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 4
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
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 Breanna Berry's NPI number?
The NPI number for Breanna Berry is 1457615189. It was assigned to this individual provider in the NPPES registry on June 27, 2012.
Where is Breanna Berry located?
Breanna Berry practices at 300 Colorado Ave, Pueblo, CO 81004. The listed phone number is (719) 543-8711.
What is Breanna Berry's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Breanna Berry enrolled in Medicare?
Yes. Breanna Berry is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Breanna Berry's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Breanna Berry reassigns Medicare benefits to 2 organizations: Pueblo Community Health Center Inc (Pueblo, CO) and Desert River Family Medicine, LLC (Canon City, CO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Breanna Berry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Breanna Berry accept?
Health plans from Select Health list Breanna Berry as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Breanna Berry was last updated on May 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Breanna Rene Berry, D.O. · NPI 1457615189
Family Medicine physician in Pueblo, Colorado. Individual provider, active in the CMS NPPES registry since June 27, 2012.
## Identity
- **NPI:** 1457615189 (Entity type: Individual)
- **Enumerated:** June 27, 2012
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** DR.0052880 (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 300 COLORADO AVE, Pueblo, CO 81004-2006
- **Phone:** (719) 543-8711 · **Fax:** (719) 543-0171
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Pueblo Community Health Center Inc (NPI 1770529950, Pueblo, CO); Desert River Family Medicine, LLC (NPI 1023773611, Canon City, CO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** May 20, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1457615189) · Data from the CMS NPPES public registry.