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Individual
MR. GREG BERRY
Active
Individual
MR. GREG BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPO CPED
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
CPO1835
—
224P00000X
Prosthetist
CPO1835
—
332BC3200X
Customized Equipment (DME)
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0482P
BCBS
NC
01
—
384410
BCBS
VA
05
—
7701327
—
NC
01
—
7795163
INDIVID EDS PED ORTHO
—
01
—
7795164
INDIVID EDS PED PROSTH
—
05
—
9190511
—
VA
Enumeration date
04/05/2006
Last updated
09/30/2013
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