Active NPI
Brian Berg, M.D.
- Emergency Medicine Physician
- Eugene, OR
National Provider Identifier
1992740237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD20468
- Practice address
- 1255 Hilyard St
Eugene, OR 97401-3718 - Phone
- (503) 686-7300
- NPI assigned
- Jun 19, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD20468 | OR | Primary |
Addresses
Primary practice location
1255 Hilyard St
Eugene, OR 97401-3718
Mailing address
PO Box 4078
Portland, OR 97208-4078
Phone (888) 633-0086
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A49789 | Other | GROUP HEALTH | |
| A49789 | Other | LIPA | |
| XPY190701 | Medicaid | CA | |
| 8279978 | Medicaid | WA | |
| A49789 | Other | PROVIDENCE | |
| A027 | Other | CHAMPS | |
| 168935 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196640000000",
"number": "1992740237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4078",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972084078",
"telephone_number": "888-633-0086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1255 HILYARD ST",
"city": "EUGENE",
"state": "OR",
"postal_code": "974013718",
"telephone_number": "503-686-7300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERG",
"first_name": "BRIAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-19",
"last_updated": "2007-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OR",
"license": "MD20468",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP HEALTH",
"identifier": "A49789",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LIPA",
"identifier": "A49789",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "XPY190701",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8279978",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDENCE",
"identifier": "A49789",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPS",
"identifier": "A027",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "168935",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.