Stacey A. Berry, MD
NPI 1336190313ActiveIndividual· Pathology, Pediatric Pathology· Fort Worth, TX
Pathology, Pediatric Pathology (MD) with Cook Childrens Physician Network, practicing in Fort Worth, Texas. Enrolled in Medicare as practitioner - pathology.
Overview
| NPI | 1336190313 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | May 13, 2006 |
| Last updated in NPPES | Apr 21, 2021 |
| Certified by provider | Apr 21, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pathology, Pediatric Pathology Primary | 207ZP0213X | Q9959 | TX |
| Pathology, Anatomic Pathology & Clinical Pathology | 207ZP0102X | 35158 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pathology (TX) |
|---|
Education and affiliations
| Graduation year | 2002 |
|---|---|
| Medicare specialty | Pathology |
Medical group
- Cook Childrens Physician NetworkFort Worth, TX · 315 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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