Organization Active NPI

John F. Berry, M.D., P.C.

  • Internal Medicine Physician
  • Centerville, MA
National Provider Identifier
1871695908
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
JOHN F. BERRY, M.D., P.C.
Practice address
1949 Falmouth Rd
Centerville, MA 02632-3119
Phone
(508) 775-3177
Fax
(508) 775-0895
NPI assigned
Sep 1, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John F. Berry Jr.NPI 1013967058
Title
President
Phone
(508) 775-3177

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

1949 Falmouth Rd
Centerville, MA 02632-3119

Mailing address

PO Box 666
Centerville, MA 02632-0666
Phone (508) 775-3177

Other identifiers 1

IdentifierTypeStateIssuer
9746463MedicaidMA

National Provider Directory

National Provider Directory

Locations

1949 Route 28
Centerville, MA 02632
Phone (508) 775-3177

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871695908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 666",
            "city": "CENTERVILLE",
            "state": "MA",
            "postal_code": "026320666",
            "telephone_number": "508-775-3177",
            "fax_number": "508-775-0895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1949 FALMOUTH RD",
            "city": "CENTERVILLE",
            "state": "MA",
            "postal_code": "026323119",
            "telephone_number": "508-775-3177",
            "fax_number": "508-775-0895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN F. BERRY, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-775-3177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9746463",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.