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NPI Code Detail

MEDICARE: JAMES R BERRY MD

MEDICARE: JAMES R BERRY MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician321423NY
2207X00000XOrthopaedic Surgery Physician3542238OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1831170778
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES R BERRY MD
Provider Business Mailing Address
First Line : 1401 BONE CREEK DR
Second Line :
City : SANDUSKY
State : OH
Zip : 44870-7267
Country : US
Telephone Number : 419-625-4900
Fax Number : 419-621-9768
Provider Business Practice Location Address
First Line : 1401 BONE CREEK DR
Second Line :
City : SANDUSKY
State : OH
Zip : 44870-7267
Country : US
Telephone Number : 419-625-4900
Fax Number : 419-621-9768
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2005
Last Update Date : 03/17/2023

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