Active NPI
Bill Wayne Berry Jr., M.D.
- Otolaryngology Physician
- Virginia Beach, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 0101054182
- Practice address
- 1950 Glenn Mitchell Dr
Suite 310
Virginia Beach, VA 23456-0019 - Phone
- (757) 507-0340
- Fax
- (757) 507-0341
- NPI assigned
- Jul 27, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 0101054182 | VA | Primary |
| Otolaryngic Allergy Physician | 207YX0602X | 0101054182 | VA |
Addresses
Primary practice location
1950 Glenn Mitchell Dr
Suite 310
Virginia Beach, VA 23456-0019
Mailing address
1950 Glenn Mitchell Dr
Suite 310
Virginia Beach, VA 23456-0019
Phone (757) 507-0340
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
713 Volvo Pkwy
Suite 101
Chesapeake, VA 23320-1614
Phone (757) 842-4110
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101054182 | VA | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bayview Physician Services, PC | Current | Accepting new patients | |
| Bayview Physician Services, PC | Current | Accepting new patients | |
| Bayview Medical Center, Inc | Past | Accepting new patients | |
| Georgia Nasal & Sinus Institute, PC | Otolaryngology | Past | Accepting new patients |
| Chesapeake Ear, Nose & Throat Associates, P.C. | Otolaryngology | Past | Accepting new patients |
Locations
713 Volvo Pkwy
Ste 101
Chesapeake, VA 23320
Phone (757) 842-4115
3241 Western Branch Blvd
Chesapeake, VA 23321
Phone (757) 686-3500
3241 Western Branch Blvd
Ste A
Chesapeake, VA 23321
111 Mill Creek Pkwy
Chesapeake, VA 23323
Phone (757) 558-8210
Interoperability endpoints
- bill.berry@bayview.eclinicaldirectplus.com
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Chesapeake, VA
- NPI 1508813387
-
- Radiology Clinic/Center
- Suffolk, VA
- NPI 1699865626
-
- Ambulatory Surgical Clinic/Center
- Suffolk, VA
- NPI 1568466209
-
- Otolaryngology Physician
- Chesapeake, VA
- NPI 1982656088
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Virginia Beach, VA
- NPI 1629038336
-
- General Acute Care Hospital
- Norfolk, VA
- NPI 1811957681
-
- General Acute Care Hospital
- Virginia Beach, VA
- NPI 1528028396
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351555200000",
"number": "1639179153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1950 GLENN MITCHELL DR",
"address_2": "SUITE 310",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234560019",
"telephone_number": "757-507-0340",
"fax_number": "757-507-0341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1950 GLENN MITCHELL DR",
"address_2": "SUITE 310",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234560019",
"telephone_number": "757-507-0340",
"fax_number": "757-507-0341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRY",
"first_name": "BILL",
"middle_name": "WAYNE",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-27",
"last_updated": "2012-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "VA",
"license": "0101054182",
"primary": true
},
{
"code": "207YX0602X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngic Allergy",
"state": "VA",
"license": "0101054182",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; 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.