Berry'S Prosthetics & Orthotics LLC
Organization Active NPI Prosthetic/Orthotic Supplier · Byram, MS
NPI 1184733271 · NPPES record last updated Jul 6, 2023
Key facts
- NPI
- 1184733271
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Prosthetic/Orthotic Supplier 335E00000X
- License
- 124 (AL)
- Legal business name
- BERRY'S PROSTHETICS & ORTHOTICS LLC
- Practice address
- 132 Byram Business Center Dr
Byram, MS 39272-9636 - Phone
- (769) 251-0555
- Fax
- (769) 251-0555
- NPI assigned
- Aug 30, 2006
- Organization subpart
- No
Authorized official
- Name
- Calvin Berry, LPO.BOCOP.CP.
- Title
- Prosthetist/Orthotist
- Phone
- (769) 251-0555
National Provider Directory
Locations
132 Byram Business Center Dr
Jackson, MS 39272
Phone (601) 326-3008
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | 124 | AL | Yes |
| Prosthetic/Orthotic Supplier | 335E00000X | CP00376 | AL | |
| Prosthetic/Orthotic Supplier | 335E00000X |
Addresses
Primary practice location
132 Byram Business Center Dr
Byram, MS 39272-9636
Mailing address
132 Byram Business Center Dr
Byram, MS 39272-9636
Phone (769) 251-0555
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 815580436B | Medicaid | GA | |
| 815580436A | Medicaid | GA |
Other providers in Byram, MS
- April Daphne Anglin
- Robert Argo
- Baptist PT - Byram
- Lekeycha Barnes
- Cassidy Lane Barnett
- Berry'S Prosthetics & Orthotics, LLC
- Better Care Healthcare Services, LLC.
- Nicholas Jeffrey Billings
- Pamela Bingham
- Emma Boone
All providers in Byram, MS · Prosthetic/Orthotic Supplier in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 6, 2023. 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.