Channon Berry

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

4588 Issued in NC

Practice address

307 Oakland Ave
Drexel, NC 28619

Phone

(828) 433-6180

NPI assigned

Jan 13, 2020

Last updated

Jan 13, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1578873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578873600000",
    "number": "1851931422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 OAKLAND AVE",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286556928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 OAKLAND AVE",
            "city": "DREXEL",
            "state": "NC",
            "postal_code": "28619",
            "telephone_number": "828-433-6180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "CHANNON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-13",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NC",
            "license": "4588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "russell.bridges@saberhealth.com",
            "affiliation": "N",
            "address_1": "307 Oakland Ave",
            "city": "Morganton",
            "state": "NC",
            "country_code": "US",
            "postal_code": "286556928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Appalachian Medical- Health and Wellness, PLLC
• Autumn Corporation (Autumn Care of Drexel)
• Christina M Biggerstaff, NURSE PRACTITIONER
• Arvis Bennett Boughman, MACCCSLP
• Destiny Management Incorporated
• Focus Behavioral Health Services, LLC
• Handi-Care, Inc.

• Physical Medicine & Rehabilitation Physician in Drexel, NC
• Providers in Drexel, NC by specialty
• Physical Medicine & Rehabilitation Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; 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.