David E Berry, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0102052848 Issued in VA

Practice address

817 Davis St Ste a
Blacksburg, VA 24060-7004

Phone

(540) 443-3940

Fax

(540) 443-3944

NPI assigned

Apr 17, 2006

Last updated

Jun 3, 2011By 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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: david.berry.1@8042.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/8042/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.

• Privia Medical Group, LLC

  • Internal Medicine Physician
  • Arlington, VA
  • NPI 1013042480

  Pediatrics

  Medicare reassignment NPD
• Blacksburg Pediatrics, PLC

  • Primary Care Clinic/Center
  • Blacksburg, VA
  • NPI 1548719859
  NPD (past) Authorized official
• Privia Medical Group, LLC

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Rockville, MD
  • NPI 1811715436
  NPD

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307059200000",
    "number": "1124082060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 DAVIS ST STE A",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240607004",
            "telephone_number": "540-443-3940",
            "fax_number": "540-443-3944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 DAVIS ST STE A",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240607004",
            "telephone_number": "540-443-3940",
            "fax_number": "540-443-3944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "DAVID",
        "middle_name": "E",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2011-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0102052848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006726721",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010372241",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Todd Beck, M.D.
• Geessiena Beckman
• Christopher A Belluzzo, D.C.
• Maggie Belton, DO
• Annemarie C Beran, DO
• Sarah Bertolo, LPC
• Cathye Griffin Betzel, PSYD
• Lynn Marie Bever, PH.D., L.C.P.
• Victoria Hutchins Bierman, PMHNP
• Bio-Medical Applications of Virginia, Inc. (FMC Dialysis Services Montgomery County)

• Pediatrics Physician in Blacksburg, VA
• Providers in Blacksburg, VA by specialty
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.