Active NPI
Joshua Berg, MS, ATC, PES
- Athletic Trainer
- Newtown, PA
National Provider Identifier
1689065484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- RT005874
- Practice address
- 321 Milford CT
Newtown, PA 18940-1753 - Phone
- (267) 546-8605
- NPI assigned
- Feb 15, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | RT005874 | PA | Primary |
Addresses
Primary practice location
321 Milford CT
Newtown, PA 18940-1753
Mailing address
321 Milford CT
Newtown, PA 18940-1753
Phone (267) 546-8605
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RT005874 | PA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710633600000",
"number": "1689065484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 MILFORD CT",
"city": "NEWTOWN",
"state": "PA",
"postal_code": "189401753",
"telephone_number": "267-546-8605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 MILFORD CT",
"city": "NEWTOWN",
"state": "PA",
"postal_code": "189401753",
"telephone_number": "267-546-8605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERG",
"first_name": "JOSHUA",
"name_prefix": "Mr.",
"credential": "MS, ATC, PES",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-02-15",
"last_updated": "2024-03-17",
"certification_date": "2024-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "PA",
"license": "RT005874",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newtown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.