Organization Active NPI

Berry's Prosthetics & Orthotics LLC

  • Prosthetic/Orthotic Supplier
  • Byram, MS
National Provider Identifier
1184733271
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
124 Issued in 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
Last updated
Jul 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Authorized official

Name
Calvin Berry, LPO.BOCOP.CP.
Title
Prosthetist/Orthotist
Phone
(769) 251-0555

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X 124 AL Primary
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

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688601600000",
    "number": "1184733271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 BYRAM BUSINESS CENTER DR",
            "city": "BYRAM",
            "state": "MS",
            "postal_code": "392729636",
            "telephone_number": "769-251-0555",
            "fax_number": "769-251-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 BYRAM BUSINESS CENTER DR",
            "city": "BYRAM",
            "state": "MS",
            "postal_code": "392729636",
            "telephone_number": "769-251-0555",
            "fax_number": "769-251-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERRY'S PROSTHETICS & ORTHOTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "CALVIN",
        "authorized_official_title_or_position": "PROSTHETIST/ORTHOTIST",
        "authorized_official_telephone_number": "769-251-0555",
        "authorized_official_credential": "LPO.BOCOP.CP."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "AL",
            "license": "124",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "AL",
            "license": "CP00376",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Byram, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; 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.