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

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1336190313

Stacey A Berry, MD is a Pathology in Fort Worth, Texas. Qualified in 2002, 24 years ago. Practices with Cook Childrens Physician Network, a 301-clinician group and accepts Medicare assignment. Licensed in Arizona and Texas.

Years since qualifying
24
Licensed in
AZ, TX
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

801 7th Ave
Fort Worth, TX 76104-2733
Phone: (682) 885-4847
Fax: (682) 885-6111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Pathology Physician (primary) Taxonomy 207ZP0213X · Licence Q9959 (TX)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence 35158 (AZ)

Record details

NPI number1336190313
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 13, 2006
Last updated in NPPESApril 21, 2021
Certification dateApril 21, 2021
Mailing addressPo Box 733784, Dallas, TX 75373-3784

Medicare enrollment

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

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Cook Childrens Physician Network — 301 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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