Organization Active NPI

Berry Orthopedic Inc

  • Prosthetic/Orthotic Supplier
  • North Miami Beach, FL
National Provider Identifier
1831379817
Registry record updated Aug 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
POR 107 Issued in FL
Legal business name
BERRY ORTHOPEDIC INC
Practice address
1875 NE 163Rd St
North Miami Beach, FL 33162
Phone
(305) 651-3040
Fax
(305) 651-3237
NPI assigned
Nov 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2018

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

Authorized official

Name
Mr. Raymond Berry, L.P.O. C.P.O.
Title
President/ Owner
Phone
(305) 651-3040

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X POR 107 FL
Prosthetic/Orthotic Supplier 335E00000X POR 107 FL Primary

Addresses

Primary practice location

1875 NE 163Rd St
North Miami Beach, FL 33162

Mailing address

PO Box 540596
Opa Locka, FL 33054-0596
Phone (305) 651-3040

Other identifiers 1

IdentifierTypeStateIssuer
019871100MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535500800000",
    "number": "1831379817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 540596",
            "city": "OPA LOCKA",
            "state": "FL",
            "postal_code": "330540596",
            "telephone_number": "305-651-3040",
            "fax_number": "305-651-3237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 NE 163RD ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "33162",
            "telephone_number": "305-651-3040",
            "fax_number": "305-651-3237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERRY ORTHOPEDIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2018-08-29",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "PRESIDENT/ OWNER",
        "authorized_official_telephone_number": "305-651-3040",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.P.O. C.P.O."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "POR 107",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "FL",
            "license": "POR 107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019871100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; 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.