John Berry Jr., MD
Individual provider Active NPI Surgery Physician · Kinston, NC
NPI 1003857772 · NPPES record last updated Jun 29, 2010
Key facts
- NPI
- 1003857772
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 28128 (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28128 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kinston Surgical Associates PA | Surgery | Current |
Accepting new patients |
| Interventional Pain & Spine Specialists, PLLC | Past | Accepting new patients |
Locations
701 Doctors Dr
Ste A
Kinston, NC 28501
Phone (252) 522-1626
Interoperability endpoints
- https://api.platform.athenahealth.com/6303/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 28128 | NC | Yes |
Addresses
Primary practice location
701 Doctors Dr
Suite a
Kinston, NC 28501-1589
Mailing address
PO Box 1316
Kinston, NC 28503
Phone (252) 522-1626
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8915186 | Medicaid | NC |
Other providers in Kinston, NC
- Bellamy Home Care Services Inc
- Evelyn Marie Bellamy
- David Benton
- Steven H Berliner
- Becky Odham Berry
- Preecha Bhotiwihok
- Bio-Medical Applications of North Carolina, Inc.
- Bio-Medical Applications of North Carolina, Inc.
- William Robert Bizzell
- Marc Bjurlin
All providers in Kinston, NC · Surgery Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.