Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brandon M Berry, IDC

Individual provider Independent Duty Corpsman · NPI 1689935850

Brandon M Berry, IDC is an Independent Duty Corpsman in San Diego, California. Practices as a sole proprietor. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

11123 Pegasus Ave
San Diego, CA 92126-4717
Phone: (714) 403-3604
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1689935850
Entity typeIndividual (Type 1)
GenderMale
Credentials IDC
Sole proprietorYes
NPI enumeratedJune 5, 2012
Last updated in NPPESJune 5, 2012

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