Provider Demographics
NPI:1942481460
Name:BERRYHILL, BILL H (MD)
Entity Type:Individual
Prefix:
First Name:BILL
Middle Name:H
Last Name:BERRYHILL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7003 WOODWAY DR.
Mailing Address - Street 2:STE. 310
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76712-6163
Mailing Address - Country:US
Mailing Address - Phone:254-776-0310
Mailing Address - Fax:254-776-7815
Practice Address - Street 1:7003 WOODWAY DR.
Practice Address - Street 2:STE. 310
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76712-6163
Practice Address - Country:US
Practice Address - Phone:254-776-0310
Practice Address - Fax:254-776-7815
Is Sole Proprietor?:No
Enumeration Date:2007-11-27
Last Update Date:2008-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE9067207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8AJ760OtherBLUE CROSS BLUE SHIELD
TX8F7087Medicare PIN
TX8AJ760OtherBLUE CROSS BLUE SHIELD