Thomas K Berry MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

0101042317 Issued in VA

Legal business name

THOMAS K BERRY MD PC

Practice address

314 Fairy Street Ext
Suite B
Martinsville, VA 24112-1913

Phone

(276) 634-5003

Fax

(276) 634-5017

NPI assigned

Oct 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Thomas K Berry, M.D.

Title

President

Phone

(276) 634-5003

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Ray Daniels Jr., MD

  • Surgery Physician
  • Williamsburg, VA
  • NPI 1043291743
  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262822400000",
    "number": "1285722579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 FAIRY STREET EXT",
            "address_2": "SUITE B",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241121913",
            "telephone_number": "276-634-5003",
            "fax_number": "276-634-5017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 FAIRY STREET EXT",
            "address_2": "SUITE B",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241121913",
            "telephone_number": "276-634-5003",
            "fax_number": "276-634-5017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS K BERRY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2010-01-07",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "276-634-5003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101042317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10381172",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007300018",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "216612",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Don S Tessmann, MD
• Therapeutic Intervention Services, Inc
• Therapy Associates of Martinsville, Inc.
• Therapy Direct
• Theresa M Bechtel, OD LLC
• Candace Thomas
• Shane Thomas, LCSW
• Tracey Denise Thomas, BUSINESS ASSOCIATES
• Sharmain Thornton
• Sandra Jean Tolliver, LCSW

• Specialist in Martinsville, VA
• Providers in Martinsville, VA by specialty
• Specialist in Virginia

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