Active NPI
Scott Hilliard Berg
- Dermatopathology Physician
- Charlottesville, VA
National Provider Identifier
1902484934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatopathology Physician
- License
- 0101286218
- Practice address
- 1221 Lee St
3Rd Floor
Charlottesville, VA 22908 - Phone
- (434) 924-5115
- Fax
- (434) 244-4504
- NPI assigned
- Mar 31, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 0101286218 | VA | |
| Dermatopathology Physician | 207ND0900X | 0101286218 | VA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
1221 Lee St
3Rd Floor
Charlottesville, VA 22908
Mailing address
PO Box 780125
Philadelphia, PA 19178-0125
Phone (804) 922-4844
Other practice location 1
9109 Stony Point Dr
Richmond, VA 23235-1979
Phone (804) 560-8919
Other practice location 2
1001 E Leigh St
Richmond, VA 23298-5004
Phone (804) 828-9361
Other practice location 3
1200 E Marshall St
Richmond, VA 23298-5023
Phone (804) 828-7284
Other practice location 4
1250 E Marshall St
Richmond, VA 23298-5023
Phone (804) 828-7284
Other practice location 5
403 N 13th St
Richmond, VA 23298-5030
Phone (804) 828-7284
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210803004025 | VA | Order and Referring Only - Dermatology | 7012311681 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- sberg507522@direct.healthsystem.virginia.edu
- scott.berg.1@20955.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787788800000",
"number": "1902484934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 780125",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191780125",
"telephone_number": "804-922-4844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 LEE ST",
"address_2": "3RD FLOOR",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "22908",
"telephone_number": "434-924-5115",
"fax_number": "434-244-4504"
}
],
"practiceLocations": [
{
"address_1": "9109 Stony Point Dr",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232351979",
"country_code": "US",
"telephone_number": "804-560-8919",
"fax_number": "804-327-8114",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1001 E Leigh St",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232985004",
"country_code": "US",
"telephone_number": "804-828-9361",
"fax_number": "804-327-8114",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1200 E Marshall St",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232985023",
"country_code": "US",
"telephone_number": "804-828-7284",
"fax_number": "804-628-8724",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1250 E Marshall St",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232985023",
"country_code": "US",
"telephone_number": "804-828-7284",
"fax_number": "804-628-8724",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "403 N 13th St",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232985030",
"country_code": "US",
"telephone_number": "804-828-7284",
"fax_number": "804-628-8724",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERG",
"first_name": "SCOTT",
"middle_name": "HILLIARD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-31",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "VA",
"license": "0101286218",
"primary": false
},
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "VA",
"license": "0101286218",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; 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.