NPIMap

Individual provider Active NPI

William E Berg, M.D.

  • Neurology Physician
  • Seattle, WA
National Provider Identifier
1568461507
Registry record updated Oct 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD00038474 Issued in WA
Practice address
515 Minor Ave
#210
Seattle, WA 98104
Phone
(206) 386-9500
Fax
(206) 386-9605
NPI assigned
Jul 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD00038474 WA Primary

Addresses

Primary practice location

515 Minor Ave
#210
Seattle, WA 98104

Mailing address

PO Box 3489
Seattle, WA 98114-3489
Phone (206) 386-9500

Other practice location 1

550 17th Ave
Seattle, WA 98122-5788
Phone (206) 320-2176

Other identifiers 2

IdentifierTypeStateIssuer
8252538MedicaidWA
137545OtherWALABOR & INDUSTRY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wberg274331@wm.providencedirect.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, MT2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060524000068 WA Practitioner - Neurology 0143231548 Reassigns benefits to 3 organizations
I20210720002807 MT Practitioner - Neurology 0143231548 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of California, San Diego School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Health and Services MtGroup PAC ID 6608786306, 358 clinicians
Swedish Health ServicesGroup PAC ID 0244138196, 1,038 clinicians

Practice addresses (Care Compare)

601 W Spruce St
Suite J
Missoula, MT 59802-4047
Phone (406) 327-3100

747 Broadway
Seattle, WA 98122-4379
Phone (206) 386-6000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD00038474WAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Mt Current Accepting new patients
Providence Health & Services-Washington CurrentSince May 16, 2015 Accepting new patients
Providence Health & Services-Wa Current Accepting new patients
Swedish Health Services CurrentSince May 1, 2015 Accepting new patients
Providence Health & Services - Washington CurrentSince Dec 1, 2017 Accepting new patients
Providence Health & Services- Washington CurrentSince Dec 1, 2017 Accepting new patients
Providence Health & Services Mt CurrentSince Sep 1, 2021 Accepting new patients
Providence Health & Services Mt CurrentSince Sep 1, 2021 Accepting new patients
Summit Neurology, P.S. Neurology Past Accepting new patients

Locations

601 W Spruce St
Ste J
Missoula, MT 59802
Phone (406) 329-2668

500 W Broadway St
Missoula, MT 59802
Phone (406) 327-1918

500 W Broadway St
Ste 320
Missoula, MT 59802
Phone (406) 329-2945

7320 216th St SW
Ste 310
Edmonds, WA 98026
Phone (425) 673-3800

1321 Colby Ave
Ofc
Everett, WA 98201
Phone (425) 261-4076

1321 Colby Ave
Everett, WA 98201
Phone (425) 259-4413

900 Pacific Ave
Fl 5
Everett, WA 98201
Phone (425) 258-7311

4112 Harbour Pointe Blvd SW
Ste 100
Mukilteo, WA 98275
Phone (425) 347-6330

550 17th Ave
Seattle, WA 98122
Phone (206) 386-2766

515 Minor Ave
Ste 210
Seattle, WA 98104
Phone (206) 340-1800

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

Organizations & group practices 9

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1568461507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3489",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981143489",
            "telephone_number": "206-386-9500",
            "fax_number": "206-386-9605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 MINOR AVE",
            "address_2": "#210",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98104",
            "telephone_number": "206-386-9500",
            "fax_number": "206-386-9605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 17th Ave",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981225788",
            "country_code": "US",
            "telephone_number": "206-320-2176",
            "fax_number": "206-320-2451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERG",
        "first_name": "WILLIAM",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WA",
            "license": "MD00038474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8252538",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRY",
            "identifier": "137545",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wberg274331@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "550 17th Ave",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981225788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.