Berry, Michael Brandon

Berry, Michael Brandon is an individual health care provider with primary practice located at 2101 W Arlington Blvd Ste 210 , Greenville NC 27834-5758. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Berry, Michael Brandon can be contacted via phone (252) 752-5000.

Contact Information

Primary practice address
2101 W Arlington Blvd Ste 210 Greenville NC 27834-5758
Phone: (252) 752-5000
Fax: (252) 931-7694
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 200501463 North Carolina
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 200501463 North Carolina

Profile Details

NPI number 1881612000
LBN Legal business name Berry, Michael Brandon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Sep 1st, 2016 - about 8 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 1881612000 NPPES
North Carolina Other 1881612000 BLUE CROSS BLUE SHIELD NORTH CAROLINA
North Carolina MEDICAID 1411C BLUE CROSS BLUE SHIELD NORTH CAROLINA

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