NPIMap

Organization Active NPI

Berryville Medical Associates PLC

  • Family Medicine Physician
  • Berryville, VA
National Provider Identifier
1376869586
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BERRYVILLE MEDICAL ASSOCIATES PLC
Practice address
115 S Church St
Berryville, VA 22611-1369
Phone
(540) 955-4811
NPI assigned
Apr 13, 2010
Last updated
Apr 5, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

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

Authorized official

Name
Sherif Z Kaiser, MDNPI 1093818213
Title
Owner
Phone
(540) 955-4811

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X VA Primary

Addresses

Primary practice location

115 S Church St
Berryville, VA 22611-1369

Mailing address

136 Linden Dr Ste 104
Winchester, VA 22601-6900
Phone (540) 678-3588

Other practice location 1

322 North Buckmarsh Street
Suite D
Berryville, VA 22611-1024
Phone (540) 955-4811

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jmiller@berryvillemedical.com

National Provider Directory

National Provider Directory

Locations

115 S Church St
Berryville, VA 22611
Phone (540) 955-0976

322 N Buckmarsh St
Ste D
Berryville, VA 22611
Phone (540) 536-5830

Interoperability endpoints

  • Direct secure messaging: jmiller@berryvillemedical.com

Practitioners & affiliated clinicians

Practitioners 4

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": "1271116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617580800000",
    "number": "1376869586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 LINDEN DR STE 104",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016900",
            "telephone_number": "540-678-3588",
            "fax_number": "540-678-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S CHURCH ST",
            "city": "BERRYVILLE",
            "state": "VA",
            "postal_code": "226111369",
            "telephone_number": "540-955-4811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "322 North Buckmarsh Street",
            "address_2": "Suite D",
            "address_purpose": "LOCATION",
            "city": "Berryville",
            "state": "VA",
            "postal_code": "226111024",
            "country_code": "US",
            "telephone_number": "540-955-4811",
            "fax_number": "540-955-0976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BERRYVILLE MEDICAL ASSOCIATES PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-13",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A",
        "authorized_official_last_name": "KAISER",
        "authorized_official_first_name": "SHERIF",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-955-4811",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmiller@berryvillemedical.com",
            "affiliation": "N",
            "address_1": "115 S Church St",
            "city": "Berryville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226111369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Berryville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; 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.