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

Breanna Rene Berry, DO

Individual provider Family Medicine Physician · NPI 1457615189

Breanna Rene Berry, DO is a Family Practice in Pueblo, Colorado. Qualified in 2012, 14 years ago. Practices with Pueblo Community Health Center Inc, a 66-clinician group and accepts Medicare assignment. Licensed in Colorado and Texas.

Years since qualifying
14
Licensed in
CO, TX
In the registry since
2012
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

300 Colorado Ave
Pueblo, CO 81004-2006
Phone: (719) 543-8711
Fax: (719) 543-0171
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence DR.0052880 (CO)
Family Medicine Physician Taxonomy 207Q00000X · Licence Q5619 (TX)

Record details

NPI number1457615189
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 27, 2012
Last updated in NPPESMay 20, 2024
Certification dateMay 20, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Pueblo Community Health Center Inc. — 66 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Pueblo