Berry, Jonathan Jordan

Berry, Jonathan Jordan is an individual health care provider with primary practice located at 3200 Northline Ave Suite 250, Greensboro NC 27408-7616. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Berry, Jonathan Jordan can be contacted via phone (336) 273-7900.

Contact Information

Primary practice address
3200 Northline Ave Suite 250 Greensboro NC 27408-7616
Phone: (336) 273-7900
Fax: (336) 273-8147
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 29892 North Carolina
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 29892 North Carolina

Profile Details

NPI number 1235237926
LBN Legal business name Berry, Jonathan Jordan
Credentials MD FACC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Aug 11th, 2021 - about 3 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 1235237926 NPPES
North Carolina Other 11527 BCBS NC
North Carolina MEDICAID 8911527 BCBS NC

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