Active NPI
Beryl Inpatient Services
- Internal Medicine Physician
- Manchester, NH
National Provider Identifier
1891707741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- N/A
- Legal business name
- BERYL INPATIENT SERVICES
- Practice address
- 100 McGregor St
Manchester, NH 03102-3730 - Phone
- (800) 427-9666
- NPI assigned
- Aug 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David Myers
- Title
- MD
- Phone
- (214) 712-2403
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | N/A | Primary |
Addresses
Primary practice location
100 McGregor St
Manchester, NH 03102-3730
Mailing address
1717 Main St
Suite 5200
Dallas, TX 75201-4612
Phone (214) 712-2403
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30213235 | Medicaid | NH | |
| 30213667 | Medicaid | NH |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1891707741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1717 MAIN ST",
"address_2": "SUITE 5200",
"city": "DALLAS",
"state": "TX",
"postal_code": "752014612",
"telephone_number": "214-712-2403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MCGREGOR ST",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031023730",
"telephone_number": "800-427-9666"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BERYL INPATIENT SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-12",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "MYERS",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "214-712-2403",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": "N/A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30213235",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30213667",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Manchester, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.