Charles Berry, NURSE PRACTITIONER
NPI 1205330578 · Pediatric Nurse Practitioner · Boston, MA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Charles Berry, NURSE PRACTITIONER is a Pediatric Nurse Practitioner provider in Boston, MA (NPI 1205330578).
Provider details
- NPI number
- 1205330578
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NURSE PRACTITIONER
- Sex
- Male
- Sole proprietor
- Yes
- License
- RN2264496 (MA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 57 Highland AveSalem, MA 01970-2141Phone: (978) 741-1200
Registry dates
- Enumerated
- 2018-03-21
- Last updated
- 2022-09-20
- Certified
- 2022-09-20
Frequently asked questions
- What is Charles Berry's NPI number?
- Charles Berry's National Provider Identifier (NPI) is 1205330578, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Charles Berry's specialty?
- Charles Berry is listed in the NPPES registry with a primary specialty of Pediatric Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Charles Berry located?
- Charles Berry's practice location on file with NPPES is 51 Blossom St, Boston, MA 02114-2601.
- What is Charles Berry's phone number?
- The practice phone number listed in the NPPES registry for Charles Berry is (617) 722-3000.
- Does Charles Berry accept Medicare?
- Charles Berry is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Charles Berry's NPI active?
- Yes — Charles Berry's NPI (1205330578) is active in the NPPES registry as of the last update on 2022-09-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.