Thomas K Berry Md Pc

LBN: Thomas K Berry Md Pc
Thomas K Berry Md Pc is an health care organization with primary practice located at 314 Fairy Street Ext Suite B, Martinsville VA 24112-1913. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Thomas K Berry Md Pc can be contacted via phone (276) 634-5003, or through Berry, Thomas K via phone (276) 634-5003.

Contact Information

Primary practice address
314 Fairy Street Ext Suite B Martinsville VA 24112-1913
Phone: (276) 634-5003
Fax: (276) 634-5017
Website:
Map and Directions
Authorized official contact:
Name: Berry, Thomas K Doctor of Medicine (MD)
Phone: (276) 634-5003

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0101042317 Virginia

Profile Details

NPI number 1285722579
LBN Legal business name Thomas K Berry Md Pc
DBA Doing business as
Authorized official Berry, Thomas K Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 11th, 2006
Last updated Jan 7th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285722579 NPPES
Virginia Other 10381172 CAQH
Virginia MEDICAID 007300018 CAQH
Virginia Other 216612 CAQH

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