BILL WAYNE BERRY JR.


Address: 1950 Glenn Mitchell Dr, Suite 310, Virginia Beach, VA 23456-0019
Phone: 7575070340

BILL WAYNE BERRY JR. (NPI# 1639179153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639179153
Entity Type Individual
Full Name BILL WAYNE BERRY JR.
Credential M.D.
Practice Address 1950 Glenn Mitchell Dr
Suite 310
Virginia Beach
VA 23456-0019
Practice Telephone 7575070340
Practice Fax Number 7575070341
Mailing Telephone 7575070340
Mailing Fax Number 7575070341
Enumeration Date 2005-07-27
Last Update Date 2012-10-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Y00000X Otolaryngology 0101054182 VA Allopathic & Osteopathic Physicians
N 207YX0602X Otolaryngology
Specialization: Otolaryngic Allergy
0101054182 VA Allopathic & Osteopathic Physicians

Office Location

Street Address 1950 GLENN MITCHELL DR
SUITE 310
City VIRGINIA BEACH
State VA
Zip Code 23456-0019

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558782086 Megan Leser Nurse Practitioner 1950 Glenn Mitchell Dr, Ste 300, Virginia Beach, VA 23456-0019 2013-12-31
1497183164 Virginia Oncology Associates Durable Medical Equipment & Medical Supplies 1950 Glenn Mitchell Dr, Suite 102, Virginia Beach, VA 23456-0019 2013-10-16
1588942155 Frederick Bagares Physical Medicine & Rehabilitation 1950 Glenn Mitchell Dr, Suite 208, Virginia Beach, VA 23456-0019 2011-07-29
1174822563 Sentara Medical Group Neurological Surgery 1950 Glenn Mitchell Dr, Ste 200, Virginia Beach, VA 23456-0019 2011-03-24
1629378823 Ashley Luna Childers Physician Assistant 1950 Glenn Mitchell Dr, Ste 300, Virginia Beach, VA 23456-0048 2010-10-22
1073849758 Alyse Y Piper Physician Assistant 1950 Glenn Mitchell Dr, Ste 300, Virginia Beach, VA 23456-0019 2009-10-30
1124272463 Evms Academic Physicians and Surgeons Health Services Foundation Dermatology 1950 Glenn Mitchell Dr, Suite 208, Virginia Beach, VA 23456-0019 2008-11-13
1760635650 Ezmin George Internal Medicine 1950 Glenn Mitchell Dr, Suite 310, Virginia Beach, VA 23456-0019 2008-10-23
1518117829 Sentara Medical Group Audiologist 1950 Glenn Mitchell Dr, Ste. 310b, Virginia Beach, VA 23456-0019 2008-09-23
1265617864 Sentara Medical Group Internal Medicine 1950 Glenn Mitchell Dr, Suite 310, Virginia Beach, VA 23456-0019 2008-01-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336679349 Joelene Grandy Contractor 1892 Riverrock Arch, Virginia Beach, VA 23456 2017-06-13
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1609235803 Maria Teresa Olivas Registered Nurse 3212 Fluuanna Circle, Virginia Beach, VA 23456 2016-02-16
1326434747 Catharine White Cartwright Physician Assistant 2501 James Madison Blvd, Virginia Beach, VA 23456 2015-04-13
1598153785 Harris Teeter LLC Pharmacy 2105 Princess Anne Road, Suite 100, Virginia Beach, VA 23456 2014-12-23
1881034023 Kimberly Ann Benson Dentist 2105 Princess Anne Road, Suite 108, Virginia Beach, VA 23456 2013-07-02
1124378450 Phyllis A. Wilson Psychologist 1249 Eagle Way, Virginia Beach, VA 23456 2012-09-13
1033477807 Wolfgang J. Bay Dentist 1625 Salem Road #101, Virginia Beach, VA 23456 2012-04-30
1881974475 Virginia Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 2232 General Booth Blvd, Virginia Beach, VA 23456 2011-08-26
1780988857 Casey Snyder Dentist 2484 North Landing Road, Virginia Beach, VA 23456 2011-01-05
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Taxonomy Information

Taxonomy Code 207Y00000X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology

Taxonomy Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265492227 Curtis Wesley Gaball Otolaryngology 4560 Church Point Place, Virginia Beach, VA 23455 2006-03-24
1235138249 Andrey IImants Blumberg Otolaryngology 3141 Kline Dr, Virginia Beach, VA 23452-6228 2005-07-20
1275747354 Sentara Medical Group Otolaryngology 1950 Glenn Mitchell Dr, Suite 310, Virginia Beach, VA 23456 2007-05-09
1831207760 William Swain Teachey Otolaryngology 1020 Independence Blvd, Suite 313, Virginia Beach, VA 23455 2006-08-29

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1174005417 Roanoke Valley Ent & Allergy PC Otolaryngology 2154 Mcvitty Rd, Second Floor, Roanoke, VA 24018 2018-09-04
1629459243 Kevin James Quinn Otolaryngology 1200 E Broad St # 980257, Richmond, VA 23298 2015-06-10
1356778641 Stat, LLC Otolaryngology 10812 Weather Vane Rd, Richmond, VA 23238-4161 2013-10-01
1134564073 Ear, Nose, Throat & Allergy Consultants, PC Otolaryngology 26208 Lee Highway, Abingdon, VA 24211-7504 2013-05-06
1467790477 Marco Aurelio Merida Otolaryngology 7216 Farm Meadow Ct, Mc Lean, VA 22101-5657 2013-01-25
1609142355 Neelima Tummala Otolaryngology 1860 Town Center Dr Ste 420, Reston, VA 20190-5901 2012-03-27
1346512225 John Laurence Manwaring Otolaryngology 7734 Retreat Ln, Warrenton, VA 20186-7546 2012-02-07
1508151887 Jose Luis Mattos Otolaryngology 415 Ray C. Hunt Dr Ste 2200, Charlottesville, VA 22903-0001 2011-06-14
1982998852 Blue Ridge Medical Management Corporation Otolaryngology 7021 W Lee Highway, Suite B, Rural Retreat, VA 24368-0000 2011-06-08
1609168327 Jae Y Kim Otolaryngology 2200 Wilson Blvd Ste 102-219, Arlington, VA 22201-3397 2011-05-12
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Competitor

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City VIRGINIA BEACH
Zip Code 23456

Improve Information

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Dataset Information

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.

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