James Berg, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

5601002683 Issued in MI

Practice address

3271 Racquet Club Dr
Traverse City, MI 49684-4708

Phone

(231) 735-8006

Fax

(231) 735-8023

NPI assigned

Jun 7, 2006

Sex

Male

Sole proprietor

No

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

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Biocare Medicine PLLC

  • Family Medicine Physician
  • Traverse City, MI
  • NPI 1619586047
  NPD Authorized official
• Great Lakes Orthopaedic Center, P.C.

  • Orthopaedic Surgery Physician
  • Traverse City, MI
  • NPI 1952323453
  NPD (past)
• Jay H Jones MD PC

  • Physical Medicine & Rehabilitation Physician
  • Traverse City, MI
  • NPI 1245461623
  NPD (past)
• Teri L. Stockwell

  • Chiropractor
  • Traverse City, MI
  • NPI 1932490992
  NPD (past)

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1962442251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3271 RACQUET CLUB DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496844708",
            "telephone_number": "231-735-8006",
            "fax_number": "231-735-8023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3271 RACQUET CLUB DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496844708",
            "telephone_number": "231-735-8006",
            "fax_number": "231-735-8023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Third St",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496842227",
            "country_code": "US",
            "telephone_number": "231-935-0733",
            "fax_number": "231-935-0735",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2240 S Airport Rd W Unit B",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496844718",
            "country_code": "US",
            "telephone_number": "231-735-8006",
            "fax_number": "231-735-8023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERG",
        "first_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601002683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annalise Benardo, M.S. CCC-SLP
• Lindsay Benedict
• Cierra Renee Bengel, LMSW
• Marianne Benjamin
• Matthew Todd Benton, CORPSMAN
• Krista Ann Berg, PHARMD
• Stephanie D Berger, LMSW
• Edward Joseph Bergeron, MD
• Melissa Mary Bergeron, PHARMD
• Kristen Bergman

• Medical Physician Assistant in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Medical Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; 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.