Patrick Thomas Berg, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

1002406-15 Issued in WI

Practice address

228 S 18TH Ave
Sturgeon Bay, WI 54235-1000

Phone

(920) 746-3788

NPI assigned

Aug 19, 2020

Last updated

Oct 14, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pberg364204@direct.ochin.org

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.

• N.E.W. Community Clinic, LTD

  • Federally Qualified Health Center (FQHC)
  • Green Bay, WI
  • NPI 1487878328
  NPD

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1770195810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 BODART ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543014923",
            "telephone_number": "920-437-7206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 S 18TH AVE",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "542351000",
            "telephone_number": "920-746-3788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERG",
        "first_name": "PATRICK",
        "middle_name": "THOMAS",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-19",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "1002406-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pberg@lakeshorechc.org",
            "affiliation": "N",
            "endpointDescription": "Work Outlook E-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2719 Calumet Ave",
            "city": "Manitowoc",
            "state": "WI",
            "country_code": "US",
            "postal_code": "542205546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bellin Memorial Hospital Inc (Bellin Medical Group at NWTC St Bay)
• Bellin Psychiatric Center Inc (Bellin Behavior Health Sturgeon Bay)
• Lawrence R Bellmore III, MD
• Renee Therese Benzinger
• James W Berg, TEACHER
• William Gerald Berg Jr., D.D.S.
• Victoria Marie Berry, D.D.S.
• Patricia Bertram, R.PH.
• Dylan Bielen, RPH
• Marc Paul Binard, M.D.

• Dentist in Sturgeon Bay, WI
• Providers in Sturgeon Bay, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.