Individual
WAYNE JEFFERSON BERRY II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
759 S MAIN ST, WOODSTOCK, VA 22664-1127
(540) 459-1100
Mailing address
199 GLENDOBBIN LANE, WINCHESTER, VA 22603
(540) 535-1645
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101240108
VA
207Q00000X
Family Medicine Physician
35098
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010321310
—
VA
01
—
1518A
BCBS
NC
01
—
1790764009
NPI
VA
01
—
540490687003
TRICARE
VA
05
—
891518A
—
NC
Enumeration date
01/13/2006
Last updated
05/22/2025
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