Seth Berg
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Little River Academy, TX
NPI 1114701646 · NPPES record last updated Aug 24, 2023
Key facts
- NPI
- 1114701646
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 602 Newberry CT
Little River Academy, TX 76554-2828 - Phone
- (254) 931-7797
- NPI assigned
- Aug 24, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
602 Newberry CT
Little River Academy, TX 76554-2828
Mailing address
602 Newberry CT
Little River Academy, TX 76554-2828
Phone (254) 931-7797
Other providers in Little River Academy, TX
- Academy Dental Center
- Academy Dental Center PLLC
- Academy Independent School District
- Anna Campos
- Alicia Elizabeth Chapa
- Malayia Cooley
- Natasha Dominguez
- Brittani Evans
All providers in Little River Academy, TX · Student in an Organized Health Care Education/Training Program in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2023. 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.