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Deactivated NPI 1235327511 Deactivated / Inactive NPI Male Practitioner

Dr. Jack T. Berry , MD

Specialist • Mitchell, SD

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jack Berry has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 11, 2007
NPI Deactivation Date January 15, 2026
Total Practice Duration ~19 Years of Practice (2007 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Jack Berry, MD was a registered Specialist practicing in Mitchell, SD. Throughout an active medical career spanning 19 years, Dr. Berry provided care at the practice location at 605 N FOSTER ST until profile deactivation on 2026-01-15.

Practice Location & Contact Primary Location

Practice Address

605 N Foster St

Mitchell, SD 573012902

Telephone 6059955756
Associated Practice Facility / Clinic
🏢 Anwarul Haq, Md, Pc Facility NPI 1528209434

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Mitchell, SD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.7 Yrs
Regional Practice Density
1 Specialists

Practicing in Mitchell, SD (51 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Anwarul Haq , MD

Internal Medicine - Hematology & Oncology

NPI 1437131042

Doctor of Medicine (M.D.)

Dr. Stephen Dick , MD

Radiology - Radiation Oncology

NPI 1568427144

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 15, 2026

Record deactivated on January 15, 2026

NPI Profile Active October 11, 2007

NPI status registered as active in NPPES database

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Updated Practice Location October 11, 2007

Registered at 605 N FOSTER ST, MITCHELL, SD 573012902 (Tel: 6059955756)

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Updated Business Mailing Address October 11, 2007

Registered at 605 N FOSTER ST, MITCHELL, SD 573012902 (Tel: 6059955756)

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Provider Name / Credentials Updated October 11, 2007

Recorded as JACK BERRY, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 11, 2007

Specialist

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Initial NPI Registration & Enumeration October 11, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1235327511
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 11, 2007
Last Update: October 11, 2007
Deactivation Date: January 15, 2026

Mailing Address

605 N Foster St

Mitchell, SD 573012902

Phone: 6059955756

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.