Paula D Berg, CNP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

R016377 Issued in SD

Practice address

703 Quincy St
Suite 1
Rapid City, SD 57701-3631

Phone

(605) 716-6656

Fax

(605) 716-6623

NPI assigned

Feb 27, 2006

Last updated

Mar 13, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

Practice roles

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.

• Internal Medicine and Geriatrics Associates, LLP

  • Geriatric Medicine (Internal Medicine) Physician
  • Rapid City, SD
  • NPI 1417012170
  NPD (past)

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236902400000",
    "number": "1316913528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 QUINCY ST",
            "address_2": "SUITE 1",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577013631",
            "telephone_number": "605-716-6656",
            "fax_number": "605-716-6623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 QUINCY ST",
            "address_2": "SUITE 1",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577013631",
            "telephone_number": "605-716-6656",
            "fax_number": "605-716-6623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERG",
        "first_name": "PAULA",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-27",
        "last_updated": "2009-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SD",
            "license": "R016377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aryn Rae Benton, RN
• Bobbi Bentz
• Kenneth Benusis, DMD
• Zachary Joe Berbos, MD
• Birgen Berg
• Nodia Berglund
• Cory Bergman, MD
• Tyler Bergstrom
• Gail Bernard
• Carey L Berndt, P.T.

• Family Medicine Physician in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Family Medicine Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2009; 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.