Allan W. Berg, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

212473 Issued in MA

Practice address

40 Industrial Park Rd
Plymouth, MA 02360-4884

Phone

(508) 746-8600

Fax

(508) 747-1002

NPI assigned

Mar 14, 2006

Last updated

Jun 5, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/578/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Boston Eye Care Consultants

  • Ophthalmology Physician
  • Hyannis, MA
  • NPI 1689701096
  NPD (past)
• Plymouth Bay Orthopedic Associates Inc.

  • Orthopaedic Surgery Physician
  • Duxbury, MA
  • NPI 1548281488
  NPD (past)

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212624000000",
    "number": "1730158759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 INDUSTRIAL PARK RD",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604884",
            "telephone_number": "508-746-8600",
            "fax_number": "508-747-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 INDUSTRIAL PARK RD",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604884",
            "telephone_number": "508-746-8600",
            "fax_number": "508-747-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERG",
        "first_name": "ALLAN",
        "middle_name": "W.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2008-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "212473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0189049",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Pomeroy Bennett, M.S.; LMHC
• Wendy Bennett
• Kathleen Bentley, NP-BC
• Cynthia Jean Benton, LICSW,MSW
• Sarah A Benton, LMHC
• Collin Bergey, MD
• Bernard J Durante MD PC (Plymouth Ears Nose and Throat)
• Bernard J. Durante,MD,PC
• Stuart Bernstein, DMD
• Margaret Ann Bertocchi-Hall

• Ophthalmology Physician in Plymouth, MA
• Providers in Plymouth, MA by specialty
• Ophthalmology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; 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.