Berry, Bruce

Berry, Bruce is an individual health care provider with primary practice located at 1021 Coolidge St Suite 4, Greeneville TN 37743-5986. He recently has only one registered license in Allopathic & Osteopathic Physicians / Occupational Medicine, which is considered as his primary health care specialty. Berry, Bruce can be contacted via phone (423) 636-8891.

Contact Information

Primary practice address
1021 Coolidge St Suite 4 Greeneville TN 37743-5986
Phone: (423) 636-8891
Fax: (423) 636-1732
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 28732 North Carolina
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 18527 Tennessee

Profile Details

NPI number 1740293596
LBN Legal business name Berry, Bruce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2006
Last updated Jun 24th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740293596 NPPES
Tennessee MEDICAID 1509400

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