Tracy a Berg M.D., P.S.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD000032615 Issued in WA

Legal business name

TRACY A BERG M.D., P.S.

Practice address

235 E Rowan Ave
Suite 204
Spokane, WA 99207-1240

Phone

(509) 344-3100

Fax

(509) 344-3104

NPI assigned

Apr 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Tracy A Berg, M.D., P.S.

Title

Owner/President

Phone

(509) 344-3100

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bruce A Bouma, M.D.

  • Specialist
  • Spokane, WA
  • NPI 1780676734
  NPD (past)
• Andrew L Bower, M.D.

  • Surgery Physician
  • Pendleton, OR
  • NPI 1538250394
  NPD (past)
• Debra Anne Kontny, DO

  • Surgery Physician
  • Helena, MT
  • NPI 1346276516
  NPD (past)
• Lee Dupont Trotter, DO

  • Pediatric Surgery Physician
  • Orem, UT
  • NPI 1013986157
  NPD (past)

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326412800000",
    "number": "1952527111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 E ROWAN AVE",
            "address_2": "SUITE 204",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992071240",
            "telephone_number": "509-344-3100",
            "fax_number": "509-344-3104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 E ROWAN AVE",
            "address_2": "SUITE 204",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992071240",
            "telephone_number": "509-344-3100",
            "fax_number": "509-344-3104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACY A BERG M.D., P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2012-01-13",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "509-344-3100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., P.S."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD000032615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1123884",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miranda Lee Townsend, ARNP
• Ryan Patrick Townsend, ARNP
• Tonya M Townsend, AAS, RN
• Brenda Louise Tracey, PHD
• Traci Anderson O.D., P.S
• Desirae Tracy, LMT
• Lynnae Nycole Tracy
• Veronica Rose Tracy
• Von R Tracy, DDS
• Rayna Traen, DO

• Surgery Physician in Spokane, WA
• Providers in Spokane, WA by specialty
• Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; 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.