Michael Allen Berg, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-007911 Issued in IL

Practice address

805 Lions Dr
Troy, IL 62294-2440

Phone

(618) 667-0600

Fax

(618) 667-8189

NPI assigned

Jul 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Chirorelief, LTD

  • Chiropractor
  • Ridgefield, WA
  • NPI 1801627450
  Medicare reassignment NPD Authorized official
• Integrity Spine and Joint Center LTD

  • Chiropractor
  • Troy, IL
  • NPI 1417374935
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455840000000",
    "number": "1184642332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 360",
            "city": "TROY",
            "state": "IL",
            "postal_code": "622940360",
            "telephone_number": "618-667-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 LIONS DR",
            "city": "TROY",
            "state": "IL",
            "postal_code": "622942440",
            "telephone_number": "618-667-0600",
            "fax_number": "618-667-8189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERG",
        "first_name": "MICHAEL",
        "middle_name": "ALLEN",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2016-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-007911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "K04391",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Wendy Becker, LCSW
• Becoming Whole Counseling
• Devon Bronte Bennett, RN
• Collette Bernreuter
• William Lee Bishop, L.C.S.W.
• Bluesprings Family Dentistry
• Richard R Boatman, DMD
• Stephen Bray, MSW,LMSW

• Chiropractor in Troy, IL
• Providers in Troy, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.