Robert J Berg, MD PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

06978 Issued in MS

Legal business name

ROBERT J BERG, MD PA

Practice address

2024 15TH St
Suite 500
Meridian, MS 39301-4130

Phone

(601) 482-5174

NPI assigned

Jan 23, 2008

Last updated

Mar 18, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert J Berg, MDNPI 1114901063

Title

Owner

Phone

(601) 482-5174

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, and the practitioner matching its NPPES authorized official.

• Robert John Berg, M.D.

  • Specialist
  • Meridian, MS
  • NPI 1114901063
  Authorized official Same address or phone

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395100800000",
    "number": "1528245404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2024 15TH ST",
            "address_2": "SUITE 500",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393014130",
            "telephone_number": "601-482-5174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 15TH ST",
            "address_2": "SUITE 500",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393014130",
            "telephone_number": "601-482-5174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT J BERG, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-23",
        "last_updated": "2014-03-18",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-482-5174",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MS",
            "license": "06978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy H. Risher, FNP
• Ritzi RX Medical Wig Clinic
• Michelle L Roark, CNM
• John Roberge
• Robert Crockett Enterprise LLC (Magnolia DME)
• Colby Roberts, LCSW
• Denise D Roberts, R.D., L.D., C.D.E.
• Jamey D. Roberts, CRNA
• Lasaundra Roberts, APMHNP-BC
• Ronnica R Roberts, LMSW, CMHT

• Specialist in Meridian, MS
• Providers in Meridian, MS by specialty
• Specialist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; 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.