DR. EUGENE ELLIOT BERG (NPI# 1073506523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073506523 |
| Entity Type | Individual |
| Full Name | DR. EUGENE ELLIOT BERG |
| Credential | MD |
| Practice Address |
4 Hawthorne Dr Bedford NH 03110-6912 |
| Mailing Address |
294 Charles Bancroft Hwy Litchfield NH 03052-2309 |
| Practice Telephone | 6034728888 |
| Practice Fax Number | 6034729090 |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2014-09-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
9793 | NH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 30010506 | 05 |
| Street Address |
4 HAWTHORNE DR |
| City | BEDFORD |
| State | NH |
| Zip Code | 03110-6912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932191293 | Thomas Jackson Kleeman | Orthopaedic Surgery | 4 Hawthorne Dr, Bedford, NH 03110-6912 | 2005-08-22 |
| 1871154179 | Brenna R. Erzen | Physician Assistant | 4 Hawthorne Dr, Bedford, NH 03110-6983 | 2019-06-26 |
| 1477052033 | Ryan Ward Dumigan | Physical Therapist | 4 Hawthorne Dr, Bedford, NH 03110-6983 | 2018-02-08 |
| 1568970176 | Theresa Mary Brisson | Nurse Practitioner | 4 Hawthorne Dr, Bedford, NH 03110-6983 | 2018-01-17 |
| 1205361052 | Minimally Invasive Surgery Center of N.e., LLC | Clinic/Center | 4 Hawthorne Dr, Bedford, NH 03110-6983 | 2017-04-28 |
| 1306200423 | Timothy Miller | Physician Assistant | 4 Hawthorne Dr, Bedford, NH 03110-6983 | 2016-04-06 |
| 1255709135 | Benjamin C. Blanchette | Physical Therapist | 4 Hawthorne Dr, Bedford, NH 03110-6983 | 2015-09-09 |
| 1538550843 | Amy Fernald | Nurse Practitioner | 4 Hawthorne Dr, Bedford, NH 03110-6983 | 2015-02-09 |
| 1649603796 | Justine Nims-largy | Nurse Practitioner | 4 Hawthorne Dr, Bedford, NH 03110 | 2013-08-13 |
| 1821338344 | Matthew E. Porter | Physician Assistant | 4 Hawthorne Dr, Bedford, NH 03110-6983 | 2013-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114587300 | Jillian Lee Grosse | Dietitian, Registered | 80 Palomino Lane Nutrition In Motion, LLC, Suite 101, Bedford, NH 03110 | 2019-06-19 |
| 1154892909 | Artemis Clinic | Acupuncturist | 288 South River Road, Bldg A, Unit 1, Bedford, NH 03110 | 2018-12-05 |
| 1942790217 | Wendy Arleen Williams | Acupuncturist | 360 Route 101 Bldg. 1, Suite E, Bedford, NH 03110 | 2018-05-13 |
| 1336638352 | Elliot Hospital of The City of Manchester | Pharmacy | 25 Leavy Dr, Bedford, NH 03110 | 2018-05-04 |
| 1588182034 | Camille Redmond | Nutritionist | 360 Route 101 Suite 3 A, Bedford, NH 03110 | 2017-09-05 |
| 1750837092 | Katya Kudryavtseva | Acupuncturist | 288 South River Rd, Bldg A, Unit 1, Bedford, NH 03110 | 2016-08-28 |
| 1003268004 | Bethany Heidemann | Occupational Therapist | 66 Hawthorne Dr S, Bedford, NH 03110 | 2016-07-01 |
| 1477913044 | Ultraflex Systems Inc. | Durable Medical Equipment & Medical Supplies | 150 Constitution Drive, 1st Floor, Bedford, NH 03110 | 2016-02-25 |
| 1508243676 | Lydia Ann Nickerson | Dental Hygienist | 4 Bell Hill Rd., Bedford, NH 03110 | 2015-04-28 |
| 1629477021 | Convenientmd LLC | Clinic/Center | 3 Nashua Rd, Bedford, NH 03110 | 2014-08-21 |
| Find all providers in zip 03110 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497722219 | Mark C Cullen | Orthopaedic Surgery | 67 Corporate Dr, 2nd Fl, Portsmouth, NH 03801 | 2006-03-01 |
| 1619268646 | Brendan Thomas Higgins | Orthopaedic Surgery | 264 Pleasant St, Concord, NH 03301 | 2011-04-25 |
| 1962663237 | Tyler P Welch | Orthopaedic Surgery | 1900 Lafayette Rd, Suite A, Portsmouth, NH 03801-5679 | 2008-06-19 |
| 1942496377 | Jason E Simon | Orthopaedic Surgery | 168 Kinsley St, Nashua, NH 03060-3634 | 2007-09-19 |
| 1225106818 | John M Grobman | Orthopaedic Surgery | 14 Maple St, Suite 100, Gilford, NH 03249-6580 | 2006-12-01 |
| 1285643114 | Kenneth J. Weintraub | Orthopaedic Surgery | 21 E Hollis St, Nashua, NH 03060-2928 | 2006-08-07 |
| 1760416234 | Patrick J Casey | Orthopaedic Surgery | 264 Pleasant St, Concord, NH 03301-2551 | 2006-07-10 |
| 1306870860 | Douglas J Moran | Orthopaedic Surgery | 264 Pleasant St, Concord, NH 03301-2551 | 2006-07-10 |
| 1487687364 | John J O'connor | Orthopaedic Surgery | 264 Pleasant St, Concord, NH 03301-2551 | 2006-07-07 |
| 1518996214 | Peter G Noordsij | Orthopaedic Surgery | 264 Pleasant St, Concord, NH 03301-2551 | 2006-07-03 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. EUGENE ELLIOT BERG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.