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

Charles Mats Berry, NURSEPRACTITIONER

Individual provider Pediatric Emergency Medicine (Pediatrics) Physician · NPI 1205330578

Charles Mats Berry, NURSEPRACTITIONER is a Pediatric Emergency Medicine (Pediatrics) Physician in Boston, Massachusetts. Practices as a sole proprietor and works from 2 locations. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2018
Specialties on file
2

Practice location Address checks out

51 Blossom St
Boston, MA 02114-2601
Phone: (617) 722-3000
Show map & directions

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

Additional practice locations (1)

  • 57 Highland Ave, Salem, MA 01970-2141 — (978) 741-1200

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence RN2264496 (MA)
Pediatric Emergency Medicine (Pediatrics) Physician Taxonomy 2080P0204X · Licence RN2264496 (MA)

Record details

NPI number1205330578
Entity typeIndividual (Type 1)
GenderMale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedMarch 21, 2018
Last updated in NPPESSeptember 20, 2022
Certification dateSeptember 20, 2022

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