Berry Enterprises LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

BERRY ENTERPRISES LLC

Doing business as

Medical IQ

Practice address

756 Luckney Rd
Brandon, MS 39042-8703

Phone

(601) 824-3255

Fax

(601) 944-9780

NPI assigned

Aug 15, 2014

Last updated

Aug 15, 2014By 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

Scott M Berry, MD

Title

Owner

Phone

(601) 824-3255

Specialties & licenses 1

Addresses

Other names 1

• Medical IQ Doing business as

Locations

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

{
    "created_epoch": "1408060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408060800000",
    "number": "1629477526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "756 LUCKNEY RD",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390428703",
            "telephone_number": "601-824-3255",
            "fax_number": "601-944-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "756 LUCKNEY RD",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390428703",
            "telephone_number": "601-824-3255",
            "fax_number": "601-944-9780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERRY ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-15",
        "last_updated": "2014-08-15",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-824-3255",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical IQ",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cody Beatus
• Renee Beavers
• Yolanda Yvette Bell, FNP/PSYCH NP
• Genetra R Benjamin
• Phillip Patrick Benton
• Melanie M Berry, PHD
• Stephanie Berry, MHT
• Erica L Bertschler, NP
• Tomeka Lafawn Bethea
• Ava Bibbs

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2014; 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.