Individual provider · Type 1 NPI

Timothy Patrick Berry Jr.

Physician Assistant · Pleasant Prairie, WI

NPI number 1366332041 Active

Practice location

9555 76th St
Pleasant Prairie, WI 53158-1984

Mailing address

3300 99th St
Pleasant Prairie, WI 53158-4014

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1366332041

Timothy Patrick Berry Jr.'s National Provider Identifier is 1366332041, issued on Jul 5, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Pleasant Prairie, WI. The record was last updated on Oct 14, 2025.