Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1750020400 Individual Practitioner Female Practitioner

Dr. Mackenzie Rebecca Berry , DO

General Practice • Tinker Afb, OK

Professional Overview & Biography Verified Profile Summary

Dr. Mackenzie Berry, DO is a registered healthcare professional specializing in General Practice in Tinker Afb, OK. Practice services are available at 7050 AIR DEPOT BLVD STE 1094 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7050 Air Depot Blvd Ste 1094

Tinker Afb, OK 731458716

Telephone 4057342778
Associated Practice Facility / Clinic
🏢 Oklahoma City Vamc Facility NPI 1598391716

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Tinker Afb, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 26.8 Yrs
Regional Practice Density
2 Specialists

Practicing in Tinker Afb, OK (175 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-03-27
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License VA 0102208016

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

22 Associated Practitioners
NPI 1013400720

Doctor of Pharmacy (Pharm.D.)

NPI 1053167981

Doctor of Dental Surgery

Michael Klose

Physician Assistant - Medical

NPI 1053717975
Angela Schetter , APRN

Nurse Practitioner - Family

NPI 1154028371

Advanced Practice Registered Nurse

Dr. Jenna Tribull , MD

Emergency Medicine

NPI 1184253320

Doctor of Medicine (M.D.)

Dr. Riana Berry , MD

Family Medicine

NPI 1215240494

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location March 27, 2024

Registered at 7050 AIR DEPOT BLVD STE 1094, TINKER AFB, OK 731458716 (Tel: 4057342778)

📍
Updated Business Mailing Address March 27, 2024

Registered at 10906 AIRMEN DR, CONVERSE, TX 781091400 (Tel: 3038033632)

👤
Provider Name / Credentials Updated March 27, 2024

Recorded as MACKENZIE BERRY, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 27, 2024

General Practice (License #0102208016 in VA)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 23, 2022

Military Health Care Provider (License #1750020400 in VA)

NPI Profile Active June 01, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location June 01, 2022

Registered at 620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 237082111 (Tel: 7579535000)

📍
Updated Business Mailing Address June 01, 2022

Registered at 1600 GRANBY ST APT 353, NORFOLK, VA 235102652 (Tel: 3038033632)

👤
Provider Name / Credentials Updated June 01, 2022

Recorded as MACKENZIE BERRY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 01, 2022

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 01, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1750020400
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 01, 2022
Last Update: March 27, 2024
Sole Proprietor: No

Mailing Address

10906 Airmen Dr

Converse, TX 781091400

Phone: 3038033632

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.