Richard Alan Berg, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

G-53552 Issued in CA

Practice address

5882 Birkdale LN
San Luis Obispo, CA 93401-8906

Phone

(805) 784-0195

Fax

(805) 784-0297

NPI assigned

Sep 27, 2005

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619963386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5882 BIRKDALE LN",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934018906",
            "telephone_number": "805-784-0195",
            "fax_number": "805-784-0297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5882 BIRKDALE LN",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934018906",
            "telephone_number": "805-784-0195",
            "fax_number": "805-784-0297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERG",
        "first_name": "RICHARD",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G-53552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Duane Benson
• Mary J. Jody Benson, RN
• Shelley Benson, PPS
• Laveta Benton, PT
• Kristen Benz, PA-C
• Steve Berg, CATC
• Berger Family Therapy, Professional Corporation
• Kristina Hibshman Berger, LPCC, LMFT
• Nycole Ann Berkeley
• Nasseem Amelia Berkman

• Diagnostic Radiology Physician in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Diagnostic Radiology Physician in California

• 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.