Active NPI
Torsten B Berg, PA-C
- Physician Assistant
- Ann Arbor, MI
National Provider Identifier
1992278444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1144872
- Practice address
- 2906 Chesterfield St
Ann Arbor, MI 48104-6512 - Phone
- (734) 546-1293
- NPI assigned
- Jan 8, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1144872 | MI | Primary |
Addresses
Primary practice location
2906 Chesterfield St
Ann Arbor, MI 48104-6512
Mailing address
2906 Chesterfield St
Ann Arbor, MI 48104-6512
Phone (734) 546-1293
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1144872 | MI | MD | Physician Assistant |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546905600000",
"number": "1992278444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2906 CHESTERFIELD ST",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481046512",
"telephone_number": "734-546-1293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2906 CHESTERFIELD ST",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481046512",
"telephone_number": "734-546-1293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERG",
"first_name": "TORSTEN",
"middle_name": "B",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-01-08",
"last_updated": "2019-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "1144872",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; 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.