Deane Ruth Berg, P.A.-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0381 Issued in SD

Practice address

2501 W. 22ND Street
Sioux Falls, SD 57117-1305

Phone

(605) 336-3230

Fax

(605) 373-4008

NPI assigned

May 22, 2006

Sex

Female

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347321600000",
    "number": "1982658001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 W. 22ND STREET",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571171305",
            "telephone_number": "605-336-3230",
            "fax_number": "605-373-4008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 W. 22ND STREET",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571171305",
            "telephone_number": "605-336-3230",
            "fax_number": "605-373-4008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERG",
        "first_name": "DEANE",
        "middle_name": "RUTH",
        "name_prefix": "Mrs.",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2012-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SD",
            "license": "0381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Berens
• Patti J Berg-Poppe, MA, MPT
• Aaron David Berg, M.D.
• Andrea Berg
• Chelsea Berg, PHARMD
• Jessica Berg, DO
• Jordan Berg, D.C.
• Laura Michele Berg, D.C.
• Laurie Berg, LMT, MMP
• Mark Lee Berg, RN

• Medical Physician Assistant in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Medical Physician Assistant in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; 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.