NPI 1730174145 · live from the CMS NPI Registry
D Duane Berry, DO
Family Medicine in South Charleston, WV. National Provider Identifier 1730174145, active.
NPI record
| NPI | 1730174145 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 5220 Maccorkle Ave Sw, South Charleston, WV 25309 |
| Practice phone | 304-720-6735 |
| Enumerated | September 13, 2005 |
| Last updated | June 12, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | 1349 (WV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.