1. Home
  2. Directory
  3. Indiana
  4. Fort Wayne
  5. Obstetrics Gynecology
  6. NPI Profile

BERYL L RANDOLPH,M.D., P.C.
NPI 1902067598
Obstetrics & Gynecology in Fort Wayne, IN

Active since June 17, 2008
800 BROADWAY, SUITE 100, FORT WAYNE, IN 46802(260) 425-3102 Get Directions Write a Review

NPPES record last updated: June 17, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Beryl L Randolph,m.d., P.c. NPPES

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

BERYL L RANDOLPH,M.D., P.C. (NPI 1902067598) is a healthcare organization registered as an obstetrics & gynecology in Fort Wayne, Indiana and active in the NPI registry since June 2008. The organization lists Beryl Lynn Randolph, Owner, as its authorized official.

NPPES Registry Identity

NPI1902067598
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameBERYL L RANDOLPH,M.D., P.C.
Location Address800 BROADWAY, SUITE 100Fort Wayne, IN 46802-2149
Mailing Address800 Broadway, Suite 100Fort Wayne, IN 46802-2149 · (260) 425-3102
Phone(260) 425-3102
Organization SubpartNo
Authorized OfficialBeryl Lynn RandolphOwner · (260) 338-2048
Enumeration DateJune 17, 2008
✔ NPI 1902067598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in IN · 01055463
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

800 BROADWAY, Fort Wayne, IN 46802
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

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

CHIK AMECHI M.D.
Obstetrics & Gynecology
800 BROADWAY, STE 315
FORT WAYNE, IN 46802
Allen County (260) 422-7427
DR. ANN MARGARET MOORE D.O.
Internal Medicine (Geriatric Medicine)
800 BROADWAY, SUITE 115
FORT WAYNE, IN 46802
Allen County (260) 425-3636
DR. SHASHI K AHUJA M.D.
Internal Medicine (Cardiovascular Disease)
800 BROADWAY, SUITE 300
FORT WAYNE, IN 46802
Allen County (260) 425-3133
PSYCHIATRIC SERVICES P C
Psychiatry & Neurology (Psychiatry)
800 BROADWAY, STE 208
FORT WAYNE, IN 46802
Allen County (260) 425-3204
SHASHI K AHUJA M.D.
Internal Medicine (Cardiovascular Disease)
800 BROADWAY, SUITE 300
FORT WAYNE, IN 46802
Allen County (260) 425-3133
LINDA HAKE
Counselor (Mental Health)
800 BROADWAY
FORT WAYNE, IN 46802
Allen County (260) 425-3620
FORT WAYNE ORTHOPAEDICS, LLC
Durable Medical Equipment & Medical Supplies
800 BROADWAY, STE 215
FORT WAYNE, IN 46802
Allen County (260) 436-8686
DIAN SULLIVAN LCSW
Social Worker
800 BROADWAY, SUITE 315
FORT WAYNE, IN 46802
Allen County (260) 489-6030

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 Beryl L Randolph,m.D., P.C.'s NPI number?

The NPI number for Beryl L Randolph,m.D., P.C. is 1902067598. It was assigned to this organization in the NPPES registry on June 17, 2008.

Where is Beryl L Randolph,m.D., P.C. located?

Beryl L Randolph,m.D., P.C. is located at 800 Broadway Suite 100, Fort Wayne, IN 46802. The listed phone number is (260) 425-3102.

What is Beryl L Randolph,m.D., P.C.'s specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Beryl L Randolph,m.D., P.C. was last updated on June 17, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.