TIMOTHY KEITH BERREY (NPI# 1285246678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285246678 |
| Entity Type | Individual |
| Full Name | TIMOTHY KEITH BERREY |
| Practice Address |
413 Salvo Ct Holly Ridge NC 28445-8609 |
| Practice Telephone | 9104401945 |
| Mailing Telephone | 7609207792 |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2020-08-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
| Street Address |
413 SALVO CT |
| City | HOLLY RIDGE |
| State | NC |
| Zip Code | 28445-8609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588273999 | Jacob Johnson | Military Health Care Provider | 413 Salvo Ct, Holly Ridge, NC 28445-8609 | 2020-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790246304 | Christopher Burkett | Dietitian, Registered | Stone Bay Base Rr136, Fpo, AA 28445 | 2019-03-27 |
| 1154733707 | Valjoy Beach Care, P.a. | Physician Assistant | 204-d N New River Drive, Surf City, NC 28445 | 2014-05-29 |
| 1487078150 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 420 Fun Center Dr, Surf City, NC 28445 | 2014-02-14 |
| 1114272440 | Jennifer Nicole Buchanan | Pharmacist | 13500 Nc Hwy 50/210, Surf City, NC 28445 | 2012-07-24 |
| 1891027652 | Selena A Kennaday | Pharmacist | 420 Fun Center Drive, Walmart Pharmacy, Surf City, NC 28445 | 2010-02-04 |
| 1497964787 | Primary Vision Care Center, O.d., P.a. | Optometrist | 13520 Nc Hwy 50, Surf City, NC 28445 | 2007-05-22 |
| 1922120260 | Jim Lankford White | Dentist | 119 Holly Street, Holly Ridge, NC 28445 | 2007-04-06 |
| 1215082540 | Beach Care Pa | Nurse Practitioner | 204 D New River Drive, Surf City, NC 28445 | 2007-01-25 |
| 1023163748 | Sandra Thompson Brown | Counselor | 114 Dunes Ct., Surf City, NC 28445 | 2007-01-24 |
| 1972657302 | Family Urgent Care of America, Inc | Non-Pharmacy Dispensing Site | 502 North Highway 17, Holly Ridge, NC 28445 | 2007-01-23 |
| Find all providers in zip 28445 | ||||
| Taxonomy Code | 1710I1002X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Corpsman |
| A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. |
| Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588273999 | Jacob Johnson | Military Health Care Provider | 413 Salvo Ct, Holly Ridge, NC 28445-8609 | 2020-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820002 | Levi Para | Military Health Care Provider | 2d Reconnaissance Bn, Psc 20138, Camp Lejeune, NC 28452-0138 | 2020-10-29 |
| 1427661743 | Russ C Garlinghouse | Military Health Care Provider | Rr 616, Stone Bay, NC 28460 | 2020-08-26 |
| 1164033197 | Brian David Bjerke | Military Health Care Provider | 612 Everrett Creek Road, Snead's Ferry, NC 28460 | 2020-08-13 |
| 1588274641 | Adam Randolph Smith | Military Health Care Provider | 205 Wintergreen Ln, Hubert, NC 28539-4659 | 2020-08-04 |
| 1790309565 | Jason C Smith | Military Health Care Provider | 113 Barrington Ct, Maple Hill, NC 28454-8659 | 2020-06-08 |
| 1639793748 | Johnathon T Brewer | Military Health Care Provider | 100 White St, Jacksonville, NC 28540 | 2020-06-04 |
| 1003444928 | Andres Martin Rodoni | Military Health Care Provider | 2nd Reconnaissance Battalion, Camp Lejune, NC 28542 | 2020-03-27 |
| 1699306670 | Dominick Ciampo | Military Health Care Provider | A66 Boat Basin Road, Camp Lejeune, NC 28542 | 2020-01-29 |
| 1487294682 | Daniel Scott Porterfield | Military Health Care Provider | Building Rr612, Loop Rd, Sneads Ferry, NC 28460 | 2020-01-15 |
| 1316584543 | Christina Koch | Military Health Care Provider | 104 Eagle River Ct, Jacksonville, NC 28540-7745 | 2019-12-06 |
| Find all providers with the same taxonomy | ||||
| City | HOLLY RIDGE |
| Zip Code | 28445 |
Please comment or provide details below to improve the information on TIMOTHY KEITH BERREY.
| 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.