Active NPI
Berry's Prosthetics & Orthotics, LLC
- Durable Medical Equipment & Medical Supplies
- Byram, MS
National Provider Identifier
1902354053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- BERRY'S PROSTHETICS & ORTHOTICS, LLC
- Practice address
- 115 Swinging Bridge Dr
Byram, MS 39272-5928 - Phone
- (769) 251-0555
- Fax
- (769) 251-0366
- NPI assigned
- Sep 19, 2016
- Last updated
- Mar 17, 2018
- 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
- Karen Teresa Berry
- Title
- Ceo
- Phone
- (769) 251-0555
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | Primary |
Addresses
Primary practice location
115 Swinging Bridge Dr
Byram, MS 39272-5928
Mailing address
115 Swinging Bridge Dr
Byram, MS 39272-5928
Phone (769) 251-0555
Other practice location 1
114 Bridgeton Plz
Byram, MS 39272-8710
Phone (769) 251-0555
Other practice location 2
114 Bridgeton Plz
Byram, MS 39272-8710
Phone (769) 251-0555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20161208000927 | MS | DME Supplier - Medical Supply Company With Orthotic-Prosthetic | 3779863733 | Practice locations: Byram, MS |
National Provider Directory
National Provider DirectoryLocations
114 Bridgeton Plz
Byram, MS 39272
Phone (769) 251-0555
115 Swinging Bridge Dr
Byram, MS 39272
Phone (769) 251-0555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474243200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1521244800000",
"number": "1902354053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 SWINGING BRIDGE DR",
"city": "BYRAM",
"state": "MS",
"postal_code": "392725928",
"telephone_number": "769-251-0555",
"fax_number": "769-251-0366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 SWINGING BRIDGE DR",
"city": "BYRAM",
"state": "MS",
"postal_code": "392725928",
"telephone_number": "769-251-0555",
"fax_number": "769-251-0366"
}
],
"practiceLocations": [
{
"address_1": "114 Bridgeton Plz",
"address_purpose": "LOCATION",
"city": "Byram",
"state": "MS",
"postal_code": "392728710",
"country_code": "US",
"telephone_number": "769-251-0555",
"fax_number": "769-251-0366",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "114 Bridgeton Plz",
"address_purpose": "LOCATION",
"city": "Byram",
"state": "MS",
"postal_code": "392728710",
"country_code": "US",
"telephone_number": "769-251-0555",
"fax_number": "769-251-0366",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "BERRY'S PROSTHETICS & ORTHOTICS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-19",
"last_updated": "2018-03-17",
"status": "A",
"authorized_official_last_name": "BERRY",
"authorized_official_first_name": "KAREN",
"authorized_official_middle_name": "TERESA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "769-251-0555"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Byram, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.