Julia E Berrios, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

6125 Issued in PR

Practice address

696 Muckerman Rd
Bennettsville, SC 29512-6195

Phone

(843) 454-8200

Fax

(843) 454-8324

NPI assigned

May 30, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891996559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 JASMINE LN",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295018688",
            "telephone_number": "843-662-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "696 MUCKERMAN RD",
            "city": "BENNETTSVILLE",
            "state": "SC",
            "postal_code": "295126195",
            "telephone_number": "843-454-8200",
            "fax_number": "843-454-8324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRIOS",
        "first_name": "JULIA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "6125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth James Beaty, O.D.
• Eunice Carnelia Bell, MSW
• Bennettsville Health and Rehab LLC (Bennettsville Health and Rehab)
• Bennettsville Health Care LLC (Bennettsville Health and Rehabilitation Center)
• Elin B. Berg, M.D.
• Luis Alberto Berrios, M.D.
• Bio-Medical Applications of South Carolina, Inc. (Fresenius Medical Care Bennettsville)
• Leandria Nichelle Bivens, LISW-CP
• Sara Blackman
• Harry Blackmon Jr., DMD

• General Practice Physician in Bennettsville, SC
• Providers in Bennettsville, SC by specialty
• General Practice Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.