Alan David Berg, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

4301111128 Issued in MI

Practice address

4014 River Rd
Building 3B
East China, MI 48054-2916

Phone

(810) 329-4779

Fax

(810) 329-7860

NPI assigned

Oct 20, 2016

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476921600000",
    "number": "1003367426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4014 RIVER RD",
            "address_2": "BUILDING 3B",
            "city": "EAST CHINA",
            "state": "MI",
            "postal_code": "480542916",
            "telephone_number": "810-329-4779",
            "fax_number": "810-329-7860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4014 RIVER RD",
            "address_2": "BUILDING 3B",
            "city": "EAST CHINA",
            "state": "MI",
            "postal_code": "480542916",
            "telephone_number": "810-329-4779",
            "fax_number": "810-329-7860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERG",
        "first_name": "ALAN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-20",
        "last_updated": "2016-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301111128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Michele Bartlett
• Robyne Beecham
• Richard D Burns, CRNA
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• Cassandra Cote
• Thomas C Dell, CRNA
• Lindi Gorinac Denny, PT

• Surgery Physician in East China, MI
• Providers in East China, MI by specialty
• Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.