NPIMap

Individual provider Active NPI

William R Berry, M.D.

  • Hematology & Oncology Physician
  • Raleigh, NC
National Provider Identifier
1043250590
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
22548 Issued in NC
Practice address
4101 Macon Pond Dr
Raleigh, NC 27607-6319
Phone
(919) 781-7070
NPI assigned
Jun 6, 2006
Last updated
Jun 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 22548 NC Primary
Medical Oncology Physician 207RX0202X 76967 MN

Addresses

Primary practice location

4101 Macon Pond Dr
Raleigh, NC 27607-6319

Mailing address

3409 White Oak Rd
Raleigh, NC 27609-7620
Phone (919) 783-5532

Other identifiers 1

IdentifierTypeStateIssuer
8915198MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, MN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050601000906 NC Practitioner - Medical OncologyPractitioner - Hematology/Oncology 3779525654 Reassigns benefits to 3 organizations
I20240618002576 MN Practitioner - Medical Oncology 3779525654 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical Oncology
Education
Duke University School of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Josephs Medical CenterGroup PAC ID 8224948443, 238 clinicians
Vidant Medical Group LLCGroup PAC ID 0345343893, 986 clinicians

Practice addresses (Care Compare)

2024 S 6TH St
Brainerd, MN 56401-4529
Phone (218) 828-7100

500 S Academy St
Vidant Heart Failure
Ahoskie, NC 27910-3261
Phone (252) 209-3260

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
22548NCMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Health System, Inc. Current Accepting new patients
Duke University Health System, Inc. CurrentSince Nov 1, 2014 Accepting new patients
Duke University Health System, Inc. CurrentSince Nov 1, 2014 Accepting new patients
Vidant Medical Group LLC CurrentSince Apr 20, 2023 Accepting new patients
St Joseph's Medical Center CurrentSince Jun 17, 2024 Accepting new patients
St. Joseph's Medical Center Current Accepting new patients
Carteret County General Hospital Corporation CurrentSince Oct 7, 2023 Accepting new patients
North Carolina Oncology Associates Hematology & Oncology Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2024 S 6th St
Brainerd, MN 56401
Phone (218) 828-2880

523 N 3rd St
Brainerd, MN 56401
Phone (218) 828-7394

500 Academy St S
Ahoskie, NC 27910
Phone (252) 209-3000

216 Ashville Ave
Ste 20
Cary, NC 27518
Phone (919) 781-7070

300 Ashville Ave
Ste 110
Cary, NC 27518
Phone (919) 781-7070

2100 Erwin Rd
Durham, NC 27705
Phone (919) 648-8111

3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588

5213 S Alston Ave
Durham, NC 27713
Phone (919) 620-4700

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

3500 Arendell St
Morehead City, NC 28557
Phone (252) 499-6000

3400 Wake Forest Rd
Raleigh, NC 27609
Phone (919) 954-3000

4101 Macon Pond Rd
Raleigh, NC 27607
Phone (919) 781-7070

Interoperability endpoints

  • Direct secure messaging: wberry11301@direct.unc.nchie.net

Organizations & group practices 9

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.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1043250590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3409 WHITE OAK RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097620",
            "telephone_number": "919-783-5532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 MACON POND DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076319",
            "telephone_number": "919-781-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "WILLIAM",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NC",
            "license": "22548",
            "primary": true
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "MN",
            "license": "76967",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8915198",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.