Berry Chiropractic Family and Sports Rehabilitation Center, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1153 Issued in MS

Legal business name

BERRY CHIROPRACTIC FAMILY AND SPORTS REHABILITATION CENTER, LLC

Practice address

110 E End St
Suite B
Cleveland, MS 38732-2742

Phone

(662) 843-9000

Fax

(662) 843-9003

NPI assigned

May 12, 2010

Last updated

May 12, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Susan Neely Berry, D.C.NPI 1003139692

Title

Chiropractor/ Owner

Phone

(662) 843-9000

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susan Neely Berry, D.C.

  • Chiropractor
  • Flowood, MS
  • NPI 1003139692
  NPD (past) Authorized official

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

{
    "created_epoch": "1273622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273622400000",
    "number": "1023336203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E END ST",
            "address_2": "SUITE B",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387322742",
            "telephone_number": "662-843-9000",
            "fax_number": "662-843-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E END ST",
            "address_2": "SUITE B",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387322742",
            "telephone_number": "662-843-9000",
            "fax_number": "662-843-9003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERRY CHIROPRACTIC FAMILY AND SPORTS REHABILITATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-12",
        "last_updated": "2010-05-12",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "NEELY",
        "authorized_official_title_or_position": "CHIROPRACTOR/ OWNER",
        "authorized_official_telephone_number": "662-843-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "1153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Bradley Rex Baugh, MD
• Matthew Bear, DO
• Bethany Medical Clinic
• Bethany Medical Clinic, LLC
• Tracy Marie Blackstock
• Don Blackwood, MD
• Mark Edward Blackwood, MD

• Chiropractor in Cleveland, MS
• Providers in Cleveland, MS by specialty
• Chiropractor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.