Michael a Berry

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

20632 Issued in MS

Legal business name

MICHAEL A BERRY

Doing business as

Michael A Berry M.D., PLLC

Practice address

255 Baptist Blvd
Suite 307
Columbus, MS 39705-2011

Phone

(662) 329-9302

Fax

(662) 328-7597

NPI assigned

Aug 4, 2009

Organization subpart

Yes

Parent organization

MICHAEL A BERRYAs reported in NPPES

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

Authorized official

Name

Michael A Berry, M.D.NPI 1790981660

Title

Physicain/General Surgeon

Phone

(662) 329-9302

Specialties & licenses 1

Addresses

Other names 1

• Michael A Berry M.D., PLLC Doing business as

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Part of

Michael a Berry

Locations

Practitioners 1

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

• Michael Allen Berry, M.D.

  • Surgery Physician
  • Columbus, MS
  • NPI 1790981660
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1249344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287619200000",
    "number": "1629209952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1019",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397031019",
            "telephone_number": "662-329-9302",
            "fax_number": "662-328-7597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 BAPTIST BLVD",
            "address_2": "SUITE 307",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052011",
            "telephone_number": "662-329-9302",
            "fax_number": "662-328-7597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL A BERRY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MICHAEL A BERRY",
        "enumeration_date": "2009-08-04",
        "last_updated": "2010-10-21",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICAIN/GENERAL SURGEON",
        "authorized_official_telephone_number": "662-329-9302",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "MS",
            "license": "20632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michael A Berry M.D., PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bob W Meek, PHD LPC
• Merci Home Care Services
• Jacob Mercier
• Kimberly Kay Merritt, R.PH.
• Lee Merritt, RPH
• Midsouth Neuro Behavioral Associates
• Diana Patricia Milan, DMD
• Jason Todd Miller, MED., ATC
• Matthew S Miller, DMD
• Tammy L Miller, NP

• Surgery Physician in Columbus, MS
• Providers in Columbus, MS by specialty
• Surgery Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; 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.