| Berry Johnson Health Pllc | |
|
26400 W 12 Mile Rd Ste 110 Southfield MI 48034-1771 | |
| (248) 833-6300 | |
| (248) 833-6200 |
| Full Name | Berry Johnson Health Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 26400 W 12 Mile Rd Ste 110, Southfield, Michigan |
| Authorized Official Name and Position | Neesha Berry (CO OWNER) |
| Authorized Official Contact | 2488336300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Berry Johnson Health Pllc 26400 W 12 Mile Rd Ste 110 Southfield MI 48034-1771 Ph: (248) 833-6300 | Berry Johnson Health Pllc 26400 W 12 Mile Rd Ste 110 Southfield MI 48034-1771 Ph: (248) 833-6300 |
| NPI Number | 1053910687 |
|---|---|
| Provider Enumeration Date | 10/24/2020 |
| Last Update Date | 10/02/2024 |
| Medicare PECOS PAC ID | 5294141164 |
|---|---|
| Medicare Enrollment ID | O20210302000678 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053910687 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Neesha Rochelle Berry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134320930 PECOS PAC ID: 1850489105 Enrollment ID: I20071120000291 |
| Provider Name | Nijuanna P Irby-johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366652760 PECOS PAC ID: 3577653401 Enrollment ID: I20071217000071 |
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