BRUCE BERRY (NPI# 1740293596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740293596 |
| Entity Type | Individual |
| Full Name | BRUCE BERRY |
| Credential | MD |
| Practice Address |
1021 Coolidge St Suite 4 Greeneville TN 37743-5986 |
| Mailing Address |
Po Box 37087 Balitmore TN 21297-3087 |
| Practice Telephone | 4236368891 |
| Practice Fax Number | 4236361732 |
| Mailing Telephone | 8286875616 |
| Mailing Fax Number | 8286508076 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2015-06-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
18527 | TN | Allopathic & Osteopathic Physicians |
| N | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
28732 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1509400 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538298633 | Bruce Berry Jr. | Licensed Practical Nurse | 1680 Walden Ave, Cheektowaga, NY 14225-4914 | 2007-03-05 |
| 1710065230 | Bruce Bart Berry | Internal Medicine | 2315 E Moreland Blvd, Waukesha, WI 53186-2939 | 2006-11-01 |
| Street Address |
1021 COOLIDGE ST SUITE 4 |
| City | GREENEVILLE |
| State | TN |
| Zip Code | 37743-5986 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922000157 | Leon Cochran | Internal Medicine | 1021 Coolidge St, Suite 4, Greeneville, TN 37743-4672 | 2005-06-01 |
| 1215295324 | Amber Nicole Mullins | Obstetrics & Gynecology | 1021 Coolidge St, Suite 2, Greeneville, TN 37743-4672 | 2012-04-26 |
| 1215210943 | Randall Blake Bible | Nurse Practitioner | 1021 Coolidge St, Suite 3, Greeneville, TN 37743-4672 | 2011-09-20 |
| 1811209620 | Jami Nacole Goodwin | Obstetrics & Gynecology | 1021 Coolidge St, Suite 2, Greeneville, TN 37743-4672 | 2010-07-09 |
| 1043404601 | Howard E Herrell | Obstetrics & Gynecology | 1021 Coolidge St, Suite 2, Greeneville, TN 37743-4672 | 2007-08-28 |
| 1497837132 | Harry Charles Nelson | Obstetrics & Gynecology | 1021 Coolidge St, Suite 2, Greeneville, TN 37743-4672 | 2006-10-20 |
| 1427130178 | Jeannette A. Lively | Midwife | 1021 Coolidge St, Suite 2, Greeneville, TN 37743-4672 | 2006-10-20 |
| 1053402701 | Women's Center of Greeneville, PC | Specialist | 1021 Coolidge St, Suite 2, Greeneville, TN 37743-4672 | 2006-09-27 |
| 1598775876 | Anne Thompson | Family Medicine | 1021 Coolidge St, Suite 4, Greeneville, TN 37743-4672 | 2006-08-09 |
| 1962435255 | Takoma Adventist Hospital | Home Health | 1021 Coolidge St, Greeneville, TN 37743-4672 | 2006-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023412020 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 2324 Asheville Highway, Greeneville, TN 37743 | 2014-10-20 |
| 1437552536 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 645 Rambo Road, Greeneville, TN 37743 | 2014-10-02 |
| 1205264058 | Robert Maddox | Social Worker | 421 5th Ave North, Employee Health Clinic, 2nd Floor Central Services Bldg, Nashville, TN 37743 | 2013-10-14 |
| 1336574326 | Cathy J Davis | Occupational Therapy Assistant | 910 West Summer Street, Greeneville, TN 37743 | 2013-09-09 |
| 1659614238 | Person Centered Choices, LLC | In Home Supportive Care | 615 W. Main St., Ste. 204, Greeneville, TN 37743 | 2013-04-01 |
| 1730449943 | Jenilee Stepp | Behavioral Analyst | 1007 West Main Suite B, Greenville, TN 37743 | 2012-05-22 |
| 1083971303 | Jessica Allison Mcafee | Registered Nurse | 401 Takoma Ave., Suite 1, Second Floor, Greeneville, TN 37743 | 2012-04-12 |
| 1780958454 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 2497 Buckingham Rd., Greeneville, TN 37743 | 2012-02-28 |
| 1629342415 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 102 Dyer St., Greeneville, TN 37743 | 2012-02-27 |
| 1215200118 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 2495 Buckingham Road, Greeneville, TN 37743 | 2012-02-23 |
| Find all providers in zip 37743 | ||||
| Taxonomy Code | 2083X0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Occupational Medicine |
| Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356706873 | Steven Serra | Preventive Medicine | 4957 Tyne Ridge Ct, Nashville, TN 37220-1531 | 2015-12-28 |
| 1811383698 | Robin Richard | Preventive Medicine | 9114 Brentmeade Blvd, Brentwood, TN 37027-8524 | 2015-04-08 |
| 1225472582 | Richard Daniel Price | Preventive Medicine | 1005 Dr. D.b.todd Blvd., Meharry Medical College, Nashville, TN 37208 | 2013-04-17 |
| 1730422031 | Saul Antonio Juliao | Preventive Medicine | 609 Granny White Pike, Brentwood, TN 37027-5732 | 2013-04-04 |
| 1720341191 | Otis Cosby Jr. | Preventive Medicine | 9818 Christi Ridge Way, Knoxville, TN 37931-3828 | 2012-06-20 |
| 1245405620 | Jorge Benitez Jr. | Preventive Medicine | 1005 Dr. D. B. Todd Jr Blvd, Nashville, TN 37208 | 2008-04-25 |
| 1356520845 | Ibrahim Heiba | Preventive Medicine | 200 S Wilcox Dr, Bldg 215, Kingsport, TN 37662 | 2007-10-31 |
| 1467640375 | Theron Blickenstaff | Preventive Medicine | 709 Clandon Dr, Kingsport, TN 37660-5036 | 2007-10-05 |
| 1063630978 | Bruce James Poitrast | Preventive Medicine | 200 S. Wilcox Dr., B-215, Kingsport, TN 37662-5431 | 2007-04-23 |
| 1932221827 | Carol J Iddins | Preventive Medicine | 1299 Bethel Valley Rd, Box 117 Reacts, Oak Ridge, TN 37830-8007 | 2007-04-04 |
| Find all providers with the same taxonomy | ||||
| City | GREENEVILLE |
| Zip Code | 37743 |
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| 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.