BERRY ENTERPRISES LLC (NPI# 1629477526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629477526 |
| Entity Type | Organization |
| Organization Name | BERRY ENTERPRISES LLC |
| Other Organization Name | MEDICAL IQ |
| Practice Address |
756 Luckney Rd Brandon MS 39042-8703 |
| Practice Telephone | 6018243255 |
| Practice Fax Number | 6019449780 |
| Mailing Telephone | 6018243255 |
| Mailing Fax Number | 6019449780 |
| Enumeration Date | 2014-08-15 |
| Last Update Date | 2014-08-15 |
| Authorized Official Name | SCOTT M BERRY (OWNER) |
| Authorized Official Telephone | 6018243255 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Medical IQ | Doing Business As Name - Organization |
| Street Address |
756 LUCKNEY RD |
| City | BRANDON |
| State | MS |
| Zip Code | 39042-8703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740821529 | Claudia Francis Jones | Technician | 1008 Greenfield Circle, Brandon, MS 39042 | 2019-10-03 |
| 1194294546 | Allen Keith Johnson Jr. | Counselor | 1700 West Government Street Building B. Suite O., Brandon, MS 39042 | 2018-11-15 |
| 1689167462 | Regional Home Care and Infusions, Inc. | Registered Nurse | 302 Town Square, Suite 110, Brandon, MS 39042 | 2018-06-07 |
| 1013419563 | Brandon Family Chiropractic LLC | Chiropractor | 1350 West Government Street Suite A1, Brandon, MS 39042 | 2018-03-01 |
| 1184146789 | Lakeland Home Program LLC | Clinic/Center | 209 Mar Lyn Dr, Brandon, MS 39042 | 2017-07-14 |
| 1104275510 | Matthew Logue | Community Health Worker | 2009 Mossy Cove, Brandon, MS 39042 | 2016-06-07 |
| 1932569704 | Haley Wilson | Chiropractor | 1350 W Government St Ste A1, Brandon, MS 39042 | 2016-03-07 |
| 1548698608 | St Dominic Medical Associates LLC | Family Medicine | 1297 West Government Street, Brandon, MS 39042 | 2013-10-28 |
| 1760825434 | Linda J. Bridges | Respiratory Therapist, Certified | 330 Rankin Road, Brandon, UNITED STATES 39042 | 2013-04-12 |
| 1861739922 | Georgia Christine Shirley | Nurse Practitioner | 2008 Brookstone Place, Brandon, MS 39042 | 2013-01-09 |
| Find all providers in zip 39042 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134386980 | Subhasis Misra | Surgery | 205 S Moon Ave Ste 102a, Brandon, FL 33511-5716 | 2008-05-20 |
| 1942490826 | Crossgates Hma Medical Group, LLC | Surgery | 346 Crossgates Boulevard, Suite 101, Brandon, MS 39042-2608 | 2007-07-27 |
| 1134205164 | Darshan B Thakkar | Surgery | 205 S Moon Ave Ste 102, Brandon, FL 33511-5716 | 2006-10-31 |
| 1235215062 | Samer Koussayer | Surgery | 325 South Parsons Ave, Brandon, FL 33511 | 2006-10-27 |
| 1790861532 | Vijay Narasimha | Surgery | 205 S.moon Ave, Ste 102, Brandon, FL 33511-5716 | 2006-10-27 |
| 1952487787 | Palanisamy Rathinasamy | Surgery | 205 S.moon Ave, Suite 102, Brandon, FL 33511-5716 | 2006-10-27 |
| 1851352314 | Donna Maria Bridge | Surgery | 608 Medical Care Dr, Brandon, FL 33511 | 2006-03-31 |
| 1083607600 | John Kimble Butterick | Surgery | 302 Bryan Rd, Suite 2, Brandon, FL 33511-5337 | 2005-08-30 |
| 1396743167 | Donovan N. Tapper | Surgery | 519 Medical Oaks Ave, Brandon, FL 33511-5961 | 2005-07-14 |
| 1548569742 | Stephen A Jones | Surgery | 519 Medical Oaks Ave, Brandon, FL 33511 | 2011-03-28 |
| Find all providers in BRANDON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.