{"npi":"1790764009","type":"NPI-1","status":"active","name":{"display":"Wayne Berry MD","other":[],"first":"WAYNE","last":"BERRY","middle":"JEFFERSON","credential":"MD"},"specialty":{"primary_taxonomy":"207Q00000X","primary_taxonomy_description":"Family Medicine","slug":"family-medicine","schema_org_specialty":"PrimaryCare","all":[{"code":"207Q00000X","description":"Family Medicine","primary":false,"state":"NC","license":"35098"},{"code":"207Q00000X","description":"Family Medicine","primary":true,"state":"VA","license":"0101240108"}]},"addresses":[{"purpose":"LOCATION","street_1":"759 S MAIN ST","city":"WOODSTOCK","state":"VA","postal_code":"226641127","country_code":"US","phone":"5404591100"},{"purpose":"MAILING","street_1":"199 GLENDOBBIN LANE","city":"WINCHESTER","state":"VA","postal_code":"22603","country_code":"US","phone":"5405351645"}],"license":{"state":"VA","number":"0101240108"},"identifiers":[{"type_code":"01","label":"Other","value":"1790764009","state":"VA","issuer":"NPI"},{"type_code":"05","label":"Medicaid","value":"891518A","state":"NC","issuer":null},{"type_code":"05","label":"Medicaid","value":"010321310","state":"VA","issuer":null},{"type_code":"01","label":"Other","value":"1518A","state":"NC","issuer":"BCBS"},{"type_code":"01","label":"Other","value":"540490687003","state":"VA","issuer":"TRICARE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20061201000214","type_code":"14-93","type_desc":"PRACTITIONER - EMERGENCY MEDICINE","state":"VA","pac_id":"5890762751"},{"enrlmt_id":"I20250618001835","type_code":"14-08","type_desc":"PRACTITIONER - FAMILY PRACTICE","state":"TN","pac_id":"5890762751"}]},"enumeration_date":"2006-01-13","last_updated":"2025-05-22","_meta":{"source":"NPPES","snapshot_date":"2025-05-22","doc_url":"https://findmynpi.com/api"}}