Donald D Berg MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

18416 Issued in IA

Legal business name

DONALD D BERG MD PC

Practice address

1005 Pennsylvania Ave
Suite 212
Ottumwa, IA 52501-6413

Phone

(641) 682-5443

Fax

(641) 682-6859

NPI assigned

Oct 18, 2006

Last updated

Sep 9, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Donald D Berg, MD

Title

President

Phone

(641) 682-5443

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William C Jacobson, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Des Moines, IA
  • NPI 1790749448
  NPD (past)

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220918400000",
    "number": "1053492785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 PENNSYLVANIA AVE",
            "address_2": "SUITE 212",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525016413",
            "telephone_number": "641-682-5443",
            "fax_number": "641-682-6859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 PENNSYLVANIA AVE",
            "address_2": "SUITE 212",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525016413",
            "telephone_number": "641-682-5443",
            "fax_number": "641-682-6859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD D BERG MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2008-09-09",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "641-682-5443",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IA",
            "license": "18416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0122879",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP PIN",
            "identifier": "71449",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Quentin Stokes Dickins Jr., M.D.
• Randall Craig Dieleman, DO
• Lynelle D Diers, RN
• Discovery Counseling Services, PLLC
• Eric Lynn Dodson, DO
• Dee Ann Dorsett, ARNP, NP-C
• Joseph Dennis Dougherty, DDS
• Dr Dennis M Gillespie
• Dr P O Swanson OD PC
• Dr. J. Brent Altfillisch, O.D. P.C.

• Specialist in Ottumwa, IA
• Providers in Ottumwa, IA by specialty
• Specialist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; 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.