Active NPI
Edwin D Berry II, D.C.
- Chiropractor
- Shrewsbury, MA
National Provider Identifier
1902861875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 595
- Practice address
- 16 Clews St
Shrewsbury, MA 01545-6209 - Phone
- (508) 755-6753
- Fax
- (508) 756-6533
- NPI assigned
- Apr 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 595 | MA | Primary |
Addresses
Primary practice location
16 Clews St
Shrewsbury, MA 01545-6209
Mailing address
16 Clews St
Shrewsbury, MA 01545-6209
Phone (508) 755-6753
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BEY35414 | Other | MA | BC/BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 595 | MA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Berry Chiropractic, P.C. | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Shrewsbury, MA
- NPI 1891977336
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203897600000",
"number": "1902861875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 CLEWS ST",
"city": "SHREWSBURY",
"state": "MA",
"postal_code": "015456209",
"telephone_number": "508-755-6753",
"fax_number": "508-756-6533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 CLEWS ST",
"city": "SHREWSBURY",
"state": "MA",
"postal_code": "015456209",
"telephone_number": "508-755-6753",
"fax_number": "508-756-6533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRY",
"first_name": "EDWIN",
"middle_name": "D",
"name_suffix": "II",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-20",
"last_updated": "2008-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "595",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "BEY35414",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Shrewsbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.