John Berry Jr., MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

28128 Issued in NC

Practice address

701 Doctors Dr
Suite a
Kinston, NC 28501-1589

Phone

(252) 522-1626

Fax

(252) 522-1486

NPI assigned

Jun 10, 2006

Last updated

Jun 29, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/6303/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kinston Surgical Associates PA

  • Surgery Physician
  • Kinston, NC
  • NPI 1912947185
  NPD Authorized official
• Interventional Pain & Spine Specialists, PLLC

  • Pain Medicine Physician
  • Chester, VA
  • NPI 1275834814
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277769600000",
    "number": "1003857772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1316",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "28503",
            "telephone_number": "252-522-1626",
            "fax_number": "252-522-1486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 DOCTORS DR",
            "address_2": "SUITE A",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285011589",
            "telephone_number": "252-522-1626",
            "fax_number": "252-522-1486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2010-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "28128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bellamy Home Care Services Inc
• Evelyn Marie Bellamy
• David Benton
• Steven H Berliner, MD.,F.A.C.O.G.F.A.CS
• Becky Odham Berry, PHARMACIST
• Preecha Bhotiwihok, MD
• Bio-Medical Applications of North Carolina, Inc. (FMC Dialysis Services Vernon)
• Bio-Medical Applications of North Carolina, Inc. (FMC of Kinston Dialysis Unit)
• William Robert Bizzell, RPH
• Marc Bjurlin, DO

• Surgery Physician in Kinston, NC
• Providers in Kinston, NC by specialty
• Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.