John F Berry, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

41124 Issued in TN

Practice address

2800 Peoples St Ste 80
Johnson City, TN 37604

Phone

(423) 631-0101

Fax

(423) 328-9027

NPI assigned

Mar 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN, VA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Cardiovascular Disease (Cardiology)

Education

University of Florida College of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Living Water Vein Institute, PCGroup PAC ID 5395073993, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Living Water Vein Institute, P.C.

  • Cardiovascular Disease Physician
  • Johnson City, TN
  • NPI 1134782170

  VA

  Medicare reassignment Care Compare group NPD Authorized official
• Coastal Care Corporation

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Stuart, FL
  • NPI 1366469975
  NPD (past)
• Martin Memorial Medical Center Inc

  • General Acute Care Hospital
  • Stuart, FL
  • NPI 1194790055
  NPD (past)
• Stuart Cardiology Group LLC

  • Cardiovascular Disease Physician
  • Stuart, FL
  • NPI 1871603332
  NPD (past)

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568937600000",
    "number": "1578524930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 PEOPLES ST STE 80",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376044158",
            "telephone_number": "423-631-0101",
            "fax_number": "423-328-9027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 PEOPLES ST STE 80",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "37604",
            "telephone_number": "423-631-0101",
            "fax_number": "423-328-9027"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2050 Meadowview Parkway",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376607332",
            "country_code": "US",
            "telephone_number": "423-230-5000",
            "fax_number": "423-230-5097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERRY",
        "first_name": "JOHN",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2019-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "41124",
            "primary": true
        },
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "TN",
            "license": "41124",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q051445",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261791900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William S Berman, DC
• Erica Flanary Bernard, PHARMD
• Boyce M Berry, M.D.
• David Wayne Berry Jr.
• Helen Shih Berry, OTR/L
• Lauren Berry, NP-C
• Brian Kent Bevins, RPH
• Haleigh Marie Bevins, PSY.D.
• Ankur Bhargava, MD, MPH, MSCBMI
• Des R. Bharti, MD

• Cardiovascular Disease Physician in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Cardiovascular Disease Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.