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Contact Information

BILL G BERRYMAN, MD
1810 STADIUM DRIVE
#140
PHENIX CITY, AL36867
 Phone: 334-664-1969
 Fax: 888-391-2191
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

208VP0000X 72 Physician/Pain Management
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for BILL G BERRYMAN · (Male)

NPI # 1669588463
Status Active
Credentials MD
Entity Individual
Enumeration date 08/22/2006
Last updated 10/23/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • AK License # 4399
  • AL License # 00026975
  • AL License # 26975
  • AR License # E-3049
  • CA License # A44553
  • FL License # ME103218
  • GA License # 058573
  • IL License # 036-071941
  • KS License # 04-29071
  • MO License # 114982
  • MT License # 8798
  • PA License # MD-070139-L
  • WV License # 22130
  • Other 1669588463 PAIN MANAGEMENT
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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