Christine Dorothy Berg, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

D28954 Issued in MD

Practice address

Executive Plaza North, Room 3100
6130 Executive Blvd.
Bethesda, MD 20892-7346

Phone

(301) 496-8544

Fax

(301) 480-0465

NPI assigned

May 2, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861614612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "EXECUTIVE PLAZA NORTH, ROOM 3100",
            "address_2": "6130 EXECUTIVE BLVD.",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208927346",
            "telephone_number": "301-496-8544",
            "fax_number": "301-480-0465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EXECUTIVE PLAZA NORTH, ROOM 3100",
            "address_2": "6130 EXECUTIVE BLVD.",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208927346",
            "telephone_number": "301-496-8544",
            "fax_number": "301-480-0465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERG",
        "first_name": "CHRISTINE",
        "middle_name": "DOROTHY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D28954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Scott Benson, PHARMD
• Elizabeth Bentivoglio, PA
• Elizabeth Pajel Berbano, MD, MPH
• Michael Alan Berenhaus, O.D.
• Bailey Irving Berg
• Ethan Berg
• Brent A Berger, MD
• Marcy Berger
• Zidi Berger, M.D.
• Sasha Tova Bergeron, NP

• Specialist in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Specialist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.