Brian William Berg, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

13154894-1205 Issued in UT

Practice address

5121 S Cottonwood St
Salt Lake City, UT 84107-5701

Phone

(801) 507-7000

NPI assigned

Jun 8, 2017

Last updated

Jan 30, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in UT, ID, WA3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

Diagnostic Radiology

Education

Temple University School of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Tellica Imaging - Washington LLCGroup PAC ID 0648757393, 50 clinicians

Tellica Imaging LLCGroup PAC ID 3577950765, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Intermountain Medical Center Hospital, Murray, UT, CCN 460010
• Intermountain Health McKay-Dee Hospital Hospital, Ogden, UT, CCN 460004
• Intermountain Health Alta View Hospital Hospital, Sandy, UT, CCN 460044
• LDS Hospital Hospital, Salt Lake City, UT, CCN 460006
• Intermountain Health Riverton Hospital Hospital, Riverton, UT, CCN 460058

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bberg980342@direct.hopkinsmedicine.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ihc Health Services Inc

  dba IMED Physicians Billing

  • Multi-Specialty Clinic/Center
  • Murray, UT
  • NPI 1629260880
  Medicare reassignment Care Compare group NPD
• Tellica Imaging - Washington LLC

  • Radiology Clinic/Center
  • Tacoma, WA
  • NPI 1346093150

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Tellica Imaging, LLC

  • Radiology Clinic/Center
  • Boise, ID
  • NPI 1760197198

  Multi-Specialty, UT

  Medicare reassignment Care Compare group NPD
• Ihc Health Services Inc

  dba Intermountain Professional Radiology Services

  • Diagnostic Radiology Physician
  • Logan, UT
  • NPI 1144736372

  Single Specialty

  NPD
• Ihc Health Services, Inc.

  dba St George Adolescent Partial Hospitalization

  • Psychiatry Physician
  • St George, UT
  • NPI 1023843844

  Multi-Specialty

  NPD
• Ihc Health Services, Inc.

  dba Intermountain Cedar City Imaging Center MRI

  • Physiological Laboratory
  • Cedar City, UT
  • NPI 1538841747
  NPD
• Tellica Imaging, LLC

  • Physiological Laboratory
  • Ogden, UT
  • NPI 1144802802
  NPD
• Tellica Imaging, LLC

  • Physiological Laboratory
  • West Valley City, UT
  • NPI 1407438039
  NPD
• Tellica Imaging, LLC

  • Physiological Laboratory
  • Spanish Fork, UT
  • NPI 1518727734
  NPD
• Tellica Imaging, LLC

  • Physiological Laboratory
  • Draper, UT
  • NPI 1710605696
  NPD
• American Health Imaging of Florida LLC

  dba Premier Advanced Imaging of Orlando LLC

  • Radiology Clinic/Center
  • Orlando, FL
  • NPI 1003891979
  NPD
• Tellica Imaging - Washington LLC

  • Radiology Clinic/Center
  • Auburn, WA
  • NPI 1215887401

  Multi-Specialty

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ihc Health Services Inc

  dba Intermountain Health Riverton Hospital

  • General Acute Care Hospital
  • Riverton, UT
  • NPI 1154551919
  Care Compare affiliation
• Ihc Health Services Inc

  dba Intermountain Health McKay-Dee Hospital

  • General Acute Care Hospital
  • Ogden, UT
  • NPI 1194749580
  Care Compare affiliation
• Ihc Health Services Inc

  dba Intermountain Health Alta View Hospital

  • General Acute Care Hospital
  • Sandy, UT
  • NPI 1962412486
  Care Compare affiliation
• Ihc Health Services, Inc.

  dba Intermountain Health Intermountain Medical Center

  • General Acute Care Hospital
  • Murray, UT
  • NPI 1043220650
  Care Compare affiliation
• Ihc Health Services, Inc.

  dba Intermountain Health LDS Hospital

  • General Acute Care Hospital
  • Salt Lake City, UT
  • NPI 1528078581
  Care Compare affiliation

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1083143564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5217 S STATE ST STE 200",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841074812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5121 S COTTONWOOD ST",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841075701",
            "telephone_number": "801-507-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3741 W 12600 S",
            "address_purpose": "LOCATION",
            "city": "Riverton",
            "state": "UT",
            "postal_code": "840657215",
            "country_code": "US",
            "telephone_number": "801-285-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 Hiland Ave",
            "address_purpose": "LOCATION",
            "city": "Burley",
            "state": "ID",
            "postal_code": "833182688",
            "country_code": "US",
            "telephone_number": "208-678-4444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5848 S 300 E",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841076157",
            "country_code": "US",
            "telephone_number": "801-314-4100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9660 S 1300 E",
            "address_purpose": "LOCATION",
            "city": "Sandy",
            "state": "UT",
            "postal_code": "840943762",
            "country_code": "US",
            "telephone_number": "801-501-2600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4401 Harrison Blvd",
            "address_purpose": "LOCATION",
            "city": "Ogden",
            "state": "UT",
            "postal_code": "844033195",
            "country_code": "US",
            "telephone_number": "801-387-2800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8th Avenue & C Street",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841431101",
            "country_code": "US",
            "telephone_number": "801-408-1100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3903 Harrison Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Ogden",
            "state": "UT",
            "postal_code": "844032316",
            "country_code": "US",
            "telephone_number": "801-387-7463",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 W Layton Pkwy",
            "address_purpose": "LOCATION",
            "city": "Layton",
            "state": "UT",
            "postal_code": "840413692",
            "country_code": "US",
            "telephone_number": "801-543-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERG",
        "first_name": "BRIAN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-08",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT213910",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "UT",
            "license": "13154894-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Scallion Berckman, L.C.S.W.
• Drew Leo Berend
• Amy Louise Berens, OTR/L
• Malcolm M. Berenson, MD
• Allie Berg
• Julie Berg, ACMHC
• Matthew Berg, MS, LAT, ATC
• Zachary Berg, M.D.
• David Berge
• Joseph Eli Bergen, RPH

• Diagnostic Radiology Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Diagnostic Radiology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.