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THOMAS K BERRY MD PC NPI 1285722579


NPI Information

NPI: 1285722579
Provider Name: THOMAS K BERRY MD PC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
314 FAIRY STREET EXT
SUITE B
MARTINSVILLE, VA
ZIP 24112
Phone: (276) 634-5003
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THOMAS K BERRY MD PC is a specialist in Martinsville, VA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. THOMAS K BERRY MD PC NPI is 1285722579. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

314 FAIRY STREET EXT
SUITE B
MARTINSVILLE, VA
ZIP 24112-913
Phone: (276) 634-5003
Fax: (276) 634-5017

The provider's authorized official is Thomas K Berry .
The authorized official title is President and has the following contact phone number (276) 634-5003.

The enumeration date for this NPI number is 10/11/2006 and was last updated on 1/7/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist0101042317VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1020001456MEDICARE ID-TYPE UNSPECIFIEDVIRGINIAMEDICARE
2007300018MEDICAIDVIRGINIA
3C08438MEDICARE PINVIRGINIA
4B05542MEDICARE UPINVIRGINIA
5216612OTHERVIRGINIAANTHEM
610381172OTHERVIRGINIACAQH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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