Individual provider Active NPI

Stephanie M Berg, MD

  • Internal Medicine Physician
  • Frisco, TX
National Provider Identifier
1629047659
Registry record updated Jul 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
N0643 Issued in TX
Practice address
4280 Main St
Ste 200
Frisco, TX 75033-3075
Phone
(972) 464-2510
Fax
(214) 705-1379
NPI assigned
Mar 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 22391 OK
Obesity Medicine (Preventive Medicine) Physician 2083B0002X 85855434 FL
Internal Medicine Physician 207R00000X N0643 TX Primary

Addresses

Primary practice location

4280 Main St
Ste 200
Frisco, TX 75033-3075

Mailing address

4280 Main St
Ste 200
Frisco, TX 75033-3080
Phone (972) 464-2510

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090112000354 TX Practitioner - Internal Medicine 2668415464 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Oklahoma College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Berg and Minigutti PLLCGroup PAC ID 3678878477, 4 clinicians

Practice addresses (Care Compare)

4280 Main St
Suite 200
Frisco, TX 75033-3080
Phone 97246425101108

Hospital & facility affiliations

  • Methodist McKinney Hospital Hospital, McKinney, TX, CCN 670069
  • Medical City Plano Hospital, Plano, TX, CCN 450651
  • Medical Center of McKinney Hospital, McKinney, TX, CCN 450403
  • Texas Health Presbyterian Hospital Allen Hospital, Allen, TX, CCN 450840

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22391OKMDInternal Medicine Physician
N0643TXMDInternal Medicine Physician
85855434FLMDObesity Medicine (Preventive Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Berg & Minigutti, PLLC Internal Medicine CurrentSince Jan 11, 2016 Accepting new patients
Physicians and Allied Health Professionals Group, PA Internal Medicine Past Accepting new patients
Berg & Minigutti, PLLC Internal Medicine Past Accepting new patients

Locations

4280 Main St
Ste 200
Frisco, TX 75033
Phone (972) 464-2510

8000 Eldorado Pkwy
Bldg D
McKinney, TX 75070
Phone (972) 464-2510

Organizations & group practices 3

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 4

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1629047659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4280 MAIN ST",
            "address_2": "STE 200",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750333080",
            "telephone_number": "972-464-2510",
            "fax_number": "214-705-1379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4280 MAIN ST",
            "address_2": "STE 200",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750333075",
            "telephone_number": "972-464-2510",
            "fax_number": "214-705-1379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERG",
        "first_name": "STEPHANIE",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "22391",
            "primary": false
        },
        {
            "code": "2083B0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": "FL",
            "license": "85855434",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N0643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.