Seth a. Berl, MD

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

024390 Issued in GA

Legal business name

SETH A. BERL, MD

Practice address

9 Hospital Park
Moultrie, GA 31768-6772

Phone

(229) 890-1442

Fax

(229) 890-0782

NPI assigned

Oct 31, 2007

Organization subpart

Yes

Parent organization

SETH A. BERL, MDAs reported in NPPES

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

Authorized official

Name

Mrs. Diane M Sikes

Title

Practice Manager

Phone

(229) 890-1442

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Seth a Berl MD

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Seth a. Berl, MD, PC

  • Internal Medicine Physician
  • Moultrie, GA
  • NPI 1679835300
  NPPES parent name

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289174400000",
    "number": "1740469352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 HOSPITAL PARK",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317686772",
            "telephone_number": "229-890-1442",
            "fax_number": "229-890-0782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 HOSPITAL PARK",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317686772",
            "telephone_number": "229-890-1442",
            "fax_number": "229-890-0782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SETH A. BERL, MD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SETH A. BERL, MD",
        "enumeration_date": "2007-10-31",
        "last_updated": "2010-11-08",
        "status": "A",
        "authorized_official_last_name": "SIKES",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "229-890-1442",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "024390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000253646D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Lynn Schmidt
• Laura Ashley Schwalls, NP-C
• Andrea M Scott
• Self Love Helping Hands LLC
• Jeong Sok Seo, MD
• Seth a. Berl, MD, PC
• George Anthony Sheffield Jr., PT
• Makena Renee Shields, D.O.
• Vernita S Shipp, NP-C
• Jessica Nicole Shirley

• Medical Physician Assistant in Moultrie, GA
• Providers in Moultrie, GA by specialty
• Medical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2010; 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.