JONATHON H BERG


Address: 1300 South Columbia Road, Grand Forks, ND 58201-4032
Phone: 7017805000

JONATHON H BERG (NPI# 1073513982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073513982
Entity Type Individual
Full Name JONATHON H BERG
Credential MD
Practice Address 1300 South Columbia Road
Grand Forks
ND 58201-4032
Mailing Address Po Box 6002
Grand Forks
ND 58201
Practice Telephone 7017805000
Practice Fax Number 7015876009
Mailing Telephone (701) 780-5000
Mailing Fax Number 7015876009
Enumeration Date 2005-07-21
Last Update Date 2017-07-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 5113 ND Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MEDICA 01-19160 01
ND ND BCBS 23749 01
PREFERRED ONE NA9481022061 01
FIRST HEALTH (MAILHANDLERS) 917187 01
ND 12955 05
MN MN BCBS 268M0BE 01
MN 514800600 05

Office Location

Street Address 1300 SOUTH COLUMBIA ROAD
City GRAND FORKS
State ND
Zip Code 58201-4032

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902244379 Megan J Christensen Anesthesiology 1300 South Columbia Road, Grand Forks, ND 58201 2013-06-07
1952746851 Bethany Joanne Beyer Gourneau Anesthesiology 1300 South Columbia Road, Grand Forks, ND 58201 2013-05-06
1841553427 James A Miles Pediatrics 1300 South Columbia Road, Grand Forks, ND 58201 2012-06-19
1003887076 Bethann Marie Nuelle Nurse Practitioner 1300 South Columbia Road, Grand Forks, ND 58201 2006-01-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255965398 Development Homes Inc Intermediate Care Facility, Mentally Retarded 5509 Cottonwood Street, Grand Forks, ND 58201 2020-02-27
1932753779 Lydia Pansegrau Occupational Therapist 2950 36th Ave S, Apt A-11, Grand Forks, ND 58201 2019-07-30
1407416019 Kristina Aikens Optometrist 1820 S 42nd St, Grand Forks, ND 58201 2019-06-17
1861963209 Jessica Kovsky Occupational Therapist 1375 S Columbia Rd- Altru Performance Center, Grand Forks, ND 58201 2018-12-11
1609345834 Altru Specialty Services, Inc Durable Medical Equipment & Medical Supplies 1375 South Columbia Road, Suite A, Grand Forks, ND 58201 2018-11-16
1225523004 Alicia Mae Mack Registered Nurse 212 S. 4th St. Suite 301, Spectra Health, Grand Forks, ND 58201 2018-06-25
1396260808 Amber White Behavior Technician 2016 S Washington St., Grand Forks, ND 58201 2017-08-04
1225579840 Kathleen Suzanne Tillman Psychologist 2100 S Columbia Road, Suite 202, Family Institute, PC, Grand Forks, ND 58201 2017-03-15
1881148906 Melissa Pytlik Monson Physician Assistant 1380 S Columbia Rd - Altru Family Medcine Center, Grand Forks, ND 58201 2016-08-05
1477936029 Laura Jane Carlson Nurse Practitioner 3165 Demers Avenue - Truyu Aesthetic Center, Grand Forks, ND 58201 2015-07-01
Find all providers in zip 58201

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215341417 Benjamin H Roth Family Medicine 860 South Columbia Road, Grand Forks, ND 58201 2014-06-16
1861828212 Viscito Family Medicine, Pllc Family Medicine 2750 S 26th St, Suite C, Grand Forks, ND 58201-6432 2013-09-17
1871762088 Rapidcare Urgent Care Family Medicine 1101 S Columbia Rd, Grand Forks, ND 58201-4055 2008-02-22
1063430122 A Marc Nielsen Family Medicine 725 Hamline St, Grand Forks, ND 58203-2819 2006-07-17
1841217320 Heidi J Philpot Family Medicine 725 Hamline Street, Grand Forks, ND 58203 2006-07-17
1811956154 Elizabeth A. Burns Family Medicine 2nd Ave. N., 100 Mccannel Hall, Grand Forks, ND 58202-9038 2006-03-23
1083674337 Charles E. Christianson Family Medicine 501 Columbia Rd, Department of Family and Community Medicine, Grand Forks, ND 58202-9037 2006-03-23
1023626462 Gianfranco Tarsitano Family Medicine 725 Hamline Street, Grand Forks, ND 58203 2020-07-22
1093335622 Kelsie Brooks Family Medicine 725 Hamline St, Grand Forks, ND 58203-2819 2020-04-23
1245850866 Allison Daniel Family Medicine 725 Hamline St, Grand Forks, ND 58203-2819 2020-04-23
Find all providers in GRAND FORKS

Competitor

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City GRAND FORKS
Zip Code 58201

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Dataset Information

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.

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