David P. Berry, MD, PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

7904 Issued in SC

Legal business name

DAVID P. BERRY, MD, PA

Practice address

1330 Boiling Springs Rd
Suite 2400
Spartanburg, SC 29303-4201

Phone

(864) 583-5312

NPI assigned

Mar 13, 2007

Last updated

Feb 7, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gwen M Lanford

Title

Insurance Coordinator

Phone

(864) 583-5312

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

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.

• David P. Berry, MD

  • Ophthalmology Physician
  • Spartanburg, SC
  • NPI 1841292653
  NPD

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297036800000",
    "number": "1356474043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 BOILING SPRINGS RD",
            "address_2": "SUITE 2400",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293034201",
            "telephone_number": "864-583-5312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 BOILING SPRINGS RD",
            "address_2": "SUITE 2400",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293034201",
            "telephone_number": "864-583-5312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID P. BERRY, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2011-02-07",
        "status": "A",
        "authorized_official_last_name": "LANFORD",
        "authorized_official_first_name": "GWEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "864-583-5312"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "7904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CM5056",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA6582",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Theodore Darr, CRNA
• Abdullah Darvesh
• David Merrill Datwyler
• Precious Daugherty, LMFT
• Pamela N Davenport, M.D.
• Bobbi Jo Davidson, LISW-CP
• Pamela A Davidson
• Modenia Omeachie Davis-Phillips, COMS
• Beverly M Davis, PT
• Bradley Duane Davis, DO

• Ophthalmology Physician in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Ophthalmology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.