NPIMap

Organization Active NPI

Frank W Berry Jr MD Inc

  • Dermatology Physician
  • Merced, CA
National Provider Identifier
1194040758
Registry record updated Apr 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
C39601 Issued in CA
Legal business name
FRANK W BERRY JR MD INC
Practice address
3178 Collins Dr
Suite B
Merced, CA 95348-3155
Phone
(209) 383-6484
Fax
(209) 383-5315
NPI assigned
Apr 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2010

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

Authorized official

Name
Dr. Frank Weldon Berry Jr., M.D.
Title
President
Phone
(209) 383-6484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X C39601 CA Primary

Addresses

Primary practice location

3178 Collins Dr
Suite B
Merced, CA 95348-3155

Mailing address

3178 Collins Dr
Suite B
Merced, CA 95348-3155
Phone (209) 383-6484

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1270598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270598400000",
    "number": "1194040758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3178 COLLINS DR",
            "address_2": "SUITE B",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953483155",
            "telephone_number": "209-383-6484",
            "fax_number": "209-383-5315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3178 COLLINS DR",
            "address_2": "SUITE B",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953483155",
            "telephone_number": "209-383-6484",
            "fax_number": "209-383-5315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANK W BERRY JR MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-07",
        "last_updated": "2010-04-07",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "WELDON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-383-6484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "C39601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2010; 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.