Deborah B Berg, RD, LDN

Primary specialty

Renal Nutrition Registered DietitianTaxonomy code 133VN1005X

License

L001653 Issued in NC

Practice address

3604 Bush St
Raleigh, NC 27609-7511

Phone

(919) 876-7807

Fax

(919) 876-8823

NPI assigned

Dec 6, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376602391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 CEDARHURST DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276095415",
            "telephone_number": "919-878-8198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3604 BUSH ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097511",
            "telephone_number": "919-876-7807",
            "fax_number": "919-876-8823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERG",
        "first_name": "DEBORAH",
        "middle_name": "B",
        "name_prefix": "Ms.",
        "credential": "RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "NC",
            "license": "L001653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERFORMING PROVIDED NUMBE",
            "identifier": "2994338",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anne Elizabeth Berardi, PHARM.D.
• Megan Myers Bereman, RD LDN
• Robert Matthew Bereman, DDS
• Amy Michelle Berent, MA, LLP, LPC
• Lisa Beresnyak
• Carly Bergenholtz
• Bruce R Berger, M.D.
• Shayla Bergeron
• Hannah Bergeson, MSN, RN, CPNP
• Rahel Berhe, RPH

• Renal Nutrition Registered Dietitian in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Renal Nutrition Registered Dietitian in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.