MEDICARE: BILL WAYNE BERRY JR. M.D.

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
1	207Y00000X	Otolaryngology Physician	0101054182	VA
2	207YX0602X	Otolaryngic Allergy Physician	0101054182	VA

General Provider Information

NPI Number	:	1639179153
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BILL WAYNE BERRY JR. M.D.

Provider Business Mailing Address
First Line	:	1950 GLENN MITCHELL DR
Second Line	:	SUITE 310
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23456-0019
Country	:	US
Telephone Number	:	757-507-0340
Fax Number	:	757-507-0341

Provider Business Practice Location Address
First Line	:	1950 GLENN MITCHELL DR
Second Line	:	SUITE 310
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23456-0019
Country	:	US
Telephone Number	:	757-507-0340
Fax Number	:	757-507-0341

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2005
Last Update Date	:	10/30/2012

Similar Medicare Providers

1356349047 — MRS. LISA J HALL PA
Practice Location Address:

1950 GLENN MITCHELL , SUITE 102
VIRGINIA BEACH, VA
23456-0019

Practice Phone: 757-368-0437
Practice Fax: 757-368-0492

1144213026 — CELESTEANN BREMER M.D.
Practice Location Address:

1950 GLENN MITCHELL DR , SUITE 102
VIRGINIA BEACH, VA
23456-0019

Practice Phone: 757-368-0437
Practice Fax: 757-368-0492

1457338204 — GAURI V RADKAR D.O.
Practice Location Address:

1950 GLENN MITCHELL DR , SUITE 102
VIRGINIA BEACH, VA
23456-0019

Practice Phone: 757-368-0437
Practice Fax: 757-368-0492

1619941747 — KENNETH FRANCIS MORE M.D.
Practice Location Address:

1950 GLENN MITCHELL DR , SUITE 102
VIRGINIA BEACH, VA
23456-0019

Practice Phone: 757-368-0437
Practice Fax: 757-368-0492

1689615593 — DR. MELISSA RACHEL LEXIER M.D.
Practice Location Address:

1950 GLENN MITCHELL DR STE 310
VIRGINIA BEACH, VA
23456-0019

Practice Phone: 757-507-0255
Practice Fax: 757-507-0256

1962445429 — DR. LISA DAWN STEPHENS MD
Practice Location Address:

1950 GLENN MITCHELL DR STE 310
VIRGINIA BEACH, VA
23456-0019

Practice Phone: 757-507-0255
Practice Fax:

Directions to “ BILL WAYNE BERRY JR. M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.