Active NPI
Berry's Prosthetics & Orthotics LLC
- Prosthetic/Orthotic Supplier
- Byram, MS
National Provider Identifier
1184733271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- 124
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.