Howard A Berg, DC
Individual provider Active NPI Chiropractor · St Simons Island, GA
NPI 1093900367 · NPPES record last updated Sep 15, 2010
Key facts
- NPI
- 1093900367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 5872 (GA)
- Practice address
- 132 Retreat PLZ
Suite B
St Simons Island, GA 31522-2426 - Phone
- (912) 638-2245
- NPI assigned
- Sep 10, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spencer Spine Specialists LLC | Chiropractor | Past | Accepting new patients |
| Jeffry M Smith D C | Chiropractor | Past | Accepting new patients |
| Island Chiropractic & Wellness Ctr | Chiropractor | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5872 | GA | Yes |
Addresses
Primary practice location
132 Retreat PLZ
Suite B
St Simons Island, GA 31522-2426
Mailing address
132 Retreat PLZ
Suite B
St Simons Island, GA 31522-2426
Phone (912) 638-2245
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GRP 4423 | Other | GA | MCR GRP |
Other providers in St Simons Island, GA
- Lauren Giczewski Bailey
- Barbara Davanzo, M.D., P.C.
- Angela C Barnard
- Louis Anthony Barton
- Belinda Burroughs, Inc.
- Billy Jacob Blackmon
- Edward Bolt
- Michele Diane Borst
- Diane Gwyn Bowen
- Nancy Hodges Bowen
All providers in St Simons Island, GA · Chiropractor in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.