Robert John Berg is a Specialist in Meridian, Mississippi. Robert John Berg practices all healthcare services and medical treatments related to Specialist. The NPI Number for Robert John Berg is 1114901063. The last update date is 2008-01-08.
Robert John Berg's current location address is 2024 15th St, Meridian, Mississippi. You can contact this provider via phone number 6014825174 and fax number 6014825175. The mailing address for Robert John Berg is 2024 15th St, Meridian, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert John Berg |
|---|---|
| Address | 2024 15th St, Meridian, Mississippi |
| Phone Number | 6014825174 |
| Fax Number | 6014825175 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1114901063 |
|---|---|
| Provider Enumeration Date | 2005-12-05 |
| Last Updated Date | 2008-01-08 |
Provider Mailing Address Detail
| Address | 2024 15th St |
|---|---|
| City | Meridian |
| State | Mississippi (MS) |
| Post Code | 393014130 |
| Phone Number | 6014825174 |
| Fax Number | 6014825175 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 6978 |
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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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 18061 | MS | -- | |
| 73006066 | MS | BLUE CROSS ALABAMA |
Post Comment/ Review Below
What is the Robert John Berg's unique identification number?
The Robert John Berg has been assigned the NPI (National Provider Identifier) Number 1114901063 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Robert John Berg located?
The Robert John Berg is located at 2024 15Th St, Meridian, MS 393014130.
What is Robert John Berg's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Robert John Berg is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1114901063 to Robert John Berg?
The Centers for Medicare & Medicaid Services originally issued the 1114901063 to Robert John Berg on 2005-12-05.
As of what date were the Robert John Berg's details last updated?
The information pertaining to the Robert John Berg, including its address, specialty, and other details, was most recently updated on 2008-01-08.