Organization Active NPI

Leonard Berry Jr LLC

Doing business as Berry and Associates Home Care

  • Internal Medicine Physician
  • Hutchins, TX
National Provider Identifier
1265693121
Registry record updated Jan 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
H3620 Issued in TX
Legal business name
LEONARD BERRY JR LLC
Doing business as
Berry and Associates Home Care
Practice address
9455 S Lancaster Hutchins Rd
Hutchins, TX 75141-3368
Phone
(972) 225-0081
Fax
(972) 225-0805
NPI assigned
Jun 23, 2008
Last updated
Jan 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2012

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

Authorized official

Name
Leonard Autwood Berry Jr., MDNPI 1780667634
Title
Owner
Phone
(972) 225-0081

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X H3620 TX Primary

Addresses

Primary practice location

9455 S Lancaster Hutchins Rd
Hutchins, TX 75141-3368

Mailing address

PO Box 860
Hutchins, TX 75141-0860
Phone (972) 225-0081

Other identifiers 1

IdentifierTypeStateIssuer
139317516MedicaidTX

Other names 1

  • Berry and Associates Home Care Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326412800000",
    "number": "1265693121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 860",
            "city": "HUTCHINS",
            "state": "TX",
            "postal_code": "751410860",
            "telephone_number": "972-225-0081",
            "fax_number": "972-225-0805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9455 S LANCASTER HUTCHINS RD",
            "city": "HUTCHINS",
            "state": "TX",
            "postal_code": "751413368",
            "telephone_number": "972-225-0081",
            "fax_number": "972-225-0805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEONARD BERRY JR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-23",
        "last_updated": "2012-01-13",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "AUTWOOD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-225-0081",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "H3620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139317516",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Berry and Associates Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hutchins, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; 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.