Richard Berg, DO
Individual provider Active NPI Family Medicine Physician · Hancock, NY
NPI 1770526840 · NPPES record last updated Apr 27, 2021
Key facts
- NPI
- 1770526840
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 238543 (NY)
- Practice address
- 116 E Front St
Hancock, NY 13783-1242 - Phone
- (607) 637-5700
- Fax
- (607) 637-5703
- NPI assigned
- Jun 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 238543 | NY | Yes |
Addresses
Primary practice location
116 E Front St
Hancock, NY 13783-1242
Mailing address
116 E Front St
Hancock, NY 13783-1242
Phone (607) 637-5700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02731639 | Medicaid | NY |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | richard.berg@direct.lourdes.com | Direct |
Other providers in Hancock, NY
- Bilqees B Abdallah
- Mona L Begeal
- Dr Bilqees Healthcare Solutions
- E.M. Gotthardt, LCSW, PLLC
- Education Plus Corp
- Hancock Central School District
- Interim Healthcare
All providers in Hancock, NY · Family Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 27, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.