Donald D Berg Md Pc in Ottumwa - Specialist

Donald D Berg Md Pc - NPI 1053492785

Donald D Berg Md Pc is a Specialist in Ottumwa, Iowa. Donald D Berg Md Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Donald D Berg Md Pc is 1053492785. The last update date is 2008-09-09.

Donald D Berg Md Pc's current location address is 1005 Pennsylvania Ave, Ottumwa, Iowa. You can contact this provider via phone number 6416825443 and fax number 6416826859. The mailing address for Donald D Berg Md Pc is 1005 Pennsylvania Ave, Ottumwa, Iowa. To know further, please read the information below!

Provider Profile Detail

Provider Organization Donald D Berg Md Pc
Address 1005 Pennsylvania Ave, Ottumwa, Iowa
Phone Number 6416825443
Fax Number 6416826859
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Berg D Donald
Credentials MD
Telephone Number 6416825443

NPI Number Detail

NPI Number 1053492785
Provider Enumeration Date 2006-10-18
Last Updated Date 2008-09-09

Provider Mailing Address Detail

Address 1005 Pennsylvania Ave
City Ottumwa
State Iowa (IA)
Post Code 525016413
Phone Number 6416825443
Fax Number 6416826859

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 18416
Definition:
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
122879 IA --
71449 IA BCBS GROUP PIN

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FAQs about Donald D Berg Md Pc

What is the Donald D Berg Md Pc's 1053492785?

The Donald D Berg Md Pc's NPI (National Provider Identifier) Number is 1053492785. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Donald D Berg Md Pc?

The Donald D Berg Md Pc is physically situated at 1005 Pennsylvania Ave, in the city of Ottumwa, state of IA, with the postal code 525016413.

What is Donald D Berg Md Pc's area of expertise and its corresponding taxonomy classification?

The Donald D Berg Md Pc's field of specialization is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Donald D Berg Md Pc receive the assignment of its 1053492785 from the Centers for Medicare & Medicaid Services?

The Donald D Berg Md Pc was issued its 1053492785 by the Centers for Medicare & Medicaid Services on 2006-10-18.

As of what date were the Donald D Berg Md Pc's details last updated?

The information pertaining to the Donald D Berg Md Pc, including its address, specialty, and other details, was most recently updated on 2008-09-09.

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