Ronald W Berg DC PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

943 Issued in NM

Legal business name

RONALD W BERG DC PA

Practice address

122 S Boardman Dr
Gallup, NM 87301

Phone

(505) 863-9554

Fax

(505) 863-9555

NPI assigned

Dec 14, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ronald W Berg Sr., DCNPI 1215103379

Title

Ceo

Phone

(505) 863-9554

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Ronald Wesley Berg, DC

  • Chiropractor
  • Gallup, NM
  • NPI 1215103379
  NPD (past) Authorized official

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223424000000",
    "number": "1962564161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 S BOARDMAN DR",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "87301",
            "telephone_number": "505-863-9554",
            "fax_number": "505-863-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 S BOARDMAN DR",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "87301",
            "telephone_number": "505-863-9554",
            "fax_number": "505-863-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD W BERG DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2008-10-08",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "505-863-9554",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gayle Romancito, BSN, RN
• Anastacia Romero
• Judy Romero
• Mary M Romero, RN
• Richard Edward Romero, RN
• Sandra Roos, RN
• John Nathaniel Roper IV, RN
• Stephanie Ann Rosario, RN
• Rose in-Home Care, LLC
• Amber Rose

• Chiropractor in Gallup, NM
• Providers in Gallup, NM by specialty
• Chiropractor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; 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.