Pacific Urology Consultants LLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

PACIFIC UROLOGY CONSULTANTS LLC

Practice address

633 Gov Carlos G Camacho Rd
Suite 210
Tamuning, GU 96913-3194

Phone

(671) 649-1001

Fax

(671) 649-1002

NPI assigned

May 18, 2011

Organization subpart

No

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

Authorized official

Name

Nathaniel B. BergNPI 1265646806

Title

MD

Phone

(671) 649-1001

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nathaniel Benjamin Berg, MD

  • Vascular & Interventional Radiology Physician
  • Tamuning, GU
  • NPI 1265646806
  NPD (past) Authorized official

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

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421798400000",
    "number": "1154614527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 GOV CARLOS G CAMACHO RD",
            "address_2": "SUITE 210",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133194",
            "telephone_number": "671-649-1001",
            "fax_number": "671-649-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 GOV CARLOS G CAMACHO RD",
            "address_2": "SUITE 210",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133194",
            "telephone_number": "671-649-1001",
            "fax_number": "671-649-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC UROLOGY CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-18",
        "last_updated": "2015-01-21",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "671-649-1001"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pacific Cardiology Consultants LLC
• Pacific Echocardio Laboratory Services Inc
• Pacific Hand Surgery Center
• Pacific Pulmonology Consultants
• Pacific Radiology Inc a Professional Corporation
• Xavier Rajesh Packianathan, MD
• Gemma Paguio, RN
• Karen Therese Evangelista Palomo
• Archaellus John Dela Vega Pamintuan
• Kathrina May A Pamintuan, PT

• All providers in Tamuning, GU
• Urology Physician in Guam

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; 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.