Christopher J Berg, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

8338 Issued in AZ

Practice address

2350 Miracle Mile # 600a
Bullhead City, AZ 86442-7505

Phone

(928) 758-9362

NPI assigned

Apr 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

University of Washington School of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Thomas DermatologyGroup PAC ID 9830277136, 35 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kingman Regional Medical Center Hospital, Kingman, AZ, CCN 030055

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Thomas Dermatology

  • Dermatology Physician
  • Las Vegas, NV
  • NPI 1922279496

  AZ

  Medicare reassignment Care Compare group
• Douglas a. Thomas, MD

  • Dermatology Physician
  • Las Vegas, NV
  • NPI 1891897658
  NPD (past)
• Lake Mead Emergency Physicians, LLC

  • Emergency Medicine Physician
  • N Las Vegas, NV
  • NPI 1154367605
  NPD (past)
• Nevada Em-I Silver-Homansky Medical Services Professional Corporation

  • Emergency Medicine Physician
  • Pahrump, NV
  • NPI 1881932721
  NPD (past)
• Nevada Intensive Care Experts, a Multi Specialty PLLC

  • Pulmonary Disease Physician
  • Las Vegas, NV
  • NPI 1427892546
  NPD (past)

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

• Kingman Healthcare, Inc

  • General Acute Care Hospital
  • Kingman, AZ
  • NPI 1265423917
  Care Compare affiliation

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672358400000",
    "number": "1699738229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9097 W POST RD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891482417",
            "telephone_number": "702-430-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 MIRACLE MILE # 600A",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864427505",
            "telephone_number": "928-758-9362"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1801 Mesquite Ave",
            "address_purpose": "LOCATION",
            "city": "Lake Havasu City",
            "state": "AZ",
            "postal_code": "864035668",
            "country_code": "US",
            "telephone_number": "928-854-5400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERG",
        "first_name": "CHRISTOPHER",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA00739",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "8338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA",
            "identifier": "1047012",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Basic Life Support, Inc.
• Jim D. Bates, D.O.
• Karen Marie Baudouine, BSN
• Patrick Allan Beck, D.C.
• Christian Beesley
• Linda Michelle Beuthe, OTR
• BHSM Rehabilitation, LLC
• Venkata Satya Bhupathiraju
• Billet Home Health Inc - Bullhead City
• Billet Hospice Inc - Bullhead City

• Physician Assistant in Bullhead City, AZ
• Providers in Bullhead City, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.