Individual provider Active NPI

Chandra Singh Jeyachandra Berry, M.D.,

  • Pediatric Urology Physician
  • Columbus, OH
National Provider Identifier
1811218456
Registry record updated Jun 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Urology PhysicianTaxonomy code 2088P0231X
License
81-000097 Issued in OH
Practice address
700 Childrens Dr
Nationwide Childrens Hospital
Columbus, OH 43205-2696
Phone
(614) 722-6625
Fax
(614) 722-6627
NPI assigned
Jun 17, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Urology Physician 2088P0231X 81-000097 OH Primary

Addresses

Primary practice location

700 Childrens Dr
Nationwide Childrens Hospital
Columbus, OH 43205-2696

Mailing address

574 Carpenter St
Columbus, OH 43205-2629

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
81-000097OHMDPediatric Urology Physician

NPI Registry JSON

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

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276732800000",
    "number": "1811218456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "574 CARPENTER ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432052629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 CHILDRENS DR",
            "address_2": "NATIONWIDE CHILDRENS HOSPITAL",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432052696",
            "telephone_number": "614-722-6625",
            "fax_number": "614-722-6627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEYACHANDRA BERRY",
        "first_name": "CHANDRA SINGH",
        "name_prefix": "Dr.",
        "credential": "M.D.,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-17",
        "last_updated": "2010-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "OH",
            "license": "81-000097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2010; 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.