Jonathan Sanford Berg, M.D.

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

2009-00418 Issued in NC

Practice address

5092 Genetics Medicine Building
Unc - Chapel Hill, CB # 7264
Chapel Hill, NC 27599-7264

Phone

(919) 966-7043

Fax

(919) 843-0291

NPI assigned

Jul 11, 2007

Last updated

Jun 9, 2009By 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 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jberg32243@direct.unc.nchie.net

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.

• University of North Carolina at Chapel Hill

  dba UNC Faculty Physicians

  • Anesthesiology Physician
  • Chapel Hill, NC
  • NPI 1780669200
  Medicare reassignment NPD
• University of North Carolina at Chapel Hill

  dba UNC REACCH Enhanced Primary Care

  • Family Medicine Physician
  • Raleigh, NC
  • NPI 1972912285
  NPD
• Park Ophthalmology

  • Ophthalmology Physician
  • Durham, NC
  • NPI 1619150141
  NPD (past)

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244505600000",
    "number": "1881892859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5092 GENETICS MEDICINE BUILDING",
            "address_2": "UNC - CHAPEL HILL, CB # 7264",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997264",
            "telephone_number": "919-966-7043",
            "fax_number": "919-843-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5092 GENETICS MEDICINE BUILDING",
            "address_2": "UNC - CHAPEL HILL, CB # 7264",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997264",
            "telephone_number": "919-966-7043",
            "fax_number": "919-843-0291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERG",
        "first_name": "JONATHAN",
        "middle_name": "SANFORD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-11",
        "last_updated": "2009-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NC",
            "license": "2009-00418",
            "primary": true
        },
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "NC",
            "license": "2009-00418",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "186355702",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "186355701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Anne Bennick, MSN, APRN, CPNP
• Ehsan Benrashid, M.D.
• Erik Tomas Benson
• Matilde Nicole Beraja, DDS
• Susan Margaret Berendzen, M.D.
• Barbara A Bergdolt, MD
• Kristin Leigh Bergenty, PT
• Gary Sterling Berger, M.D.
• Robert G Berger, MD
• Robert William Berghorn Jr., DPT, ATC, USAW

• Hematology & Oncology Physician in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Hematology & Oncology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2009; 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.