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Contact Information

GREG BERRY, CPO CPED
1102 BROWN ST
WASHINGTON, NC27889
 Phone: 252-940-1203
 Fax: 252-940-1206
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Customized Equipment

332BC3200X 87 All Other Suppliers
 

Orthotist

222Z00000X 55 Individual Certified Orthotist
 

Prosthetist

224P00000X 56 Individual Certified Prosthetist
Indicates primary specialty

NPI Profile & details for GREG BERRY · (Male)

NPI # 1639131592
Status Active
Credentials CPO CPED
Entity Individual
Enumeration date 04/05/2006
Last updated 09/30/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • License # CPO1835
  • NC Medicaid 7701327
  • VA Medicaid 9190511
  • Other 7795163 INDIVID EDS PED ORTHO
  • Other 7795164 INDIVID EDS PED PROSTH
  • NC Other 0482P BCBS
  • VA Other 384410 BCBS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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