DANIEL P BERG (NPI# 1164817722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164817722 |
| Entity Type | Individual |
| Full Name | DANIEL P BERG |
| Credential | MD |
| Practice Address |
163 E Bethalto Dr Bethalto IL 62010-1801 |
| Practice Telephone | 6184336490 |
| Mailing Telephone | 6184336490 |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2020-08-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036145088 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2160 S 1st Ave, Maywood, IL 60153 | 7082161326 | |
| 13450 S Kedzie Ave, Robbins, IL 60472 | 7082938100 | 7082938295 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083718019 | Daniel Robert Berg | Optometrist | 638 Marketplace Blvd, Hamilton, NJ 08691-2113 | 2006-09-11 |
| 1154581536 | Daniel Berg | Radiologic Technologist | 420 4th St Ne Ste 122, Watertown, SD 57201-2658 | 2008-06-10 |
| 1689846875 | Daniel A Berg | Physical Therapy Assistant | 1007 Johnstown Ave, Salina, KS 67401-3021 | 2008-03-27 |
| 1760549950 | Daniel Berg | Dermatology | 1229 Madison Street, Suite 1090, Seattle, WA 98104 | 2007-01-03 |
| 1578636650 | Daniel Eric Berg | Internal Medicine | 2211 Genesee St, Suite 200, Utica, NY 13501-5930 | 2006-11-16 |
| 1013947555 | Daniel Ralph Berg | Internal Medicine | 401 Holly Hills Ave, Saint Louis, MO 63111-2410 | 2006-07-03 |
| 1659362069 | Daniel R Berg | Family Medicine | 1400 1st St Ne, New Prague, MN 56071-2215 | 2005-11-03 |
| 1841289790 | Daniel J Berg | Internal Medicine | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2005-10-13 |
| Street Address |
163 E BETHALTO DR |
| City | BETHALTO |
| State | IL |
| Zip Code | 62010-1801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356973366 | Elizabeth Elaine Bernat | Nurse Practitioner | 163 E Bethalto Dr, Bethalto, IL 62010-1801 | 2020-02-07 |
| 1619456472 | Tracie Lynn Eilerman | Registered Nurse | 163 E Bethalto Dr, Bethalto, IL 62010-1801 | 2018-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558727990 | Mccormick Physical Therapy & Athletic Rehab | Physical Therapist | 131 Greenbrier Ln, Bethalto, IL 62010 | 2016-01-14 |
| 1063855310 | Hall Chiropractic LLC | Chiropractor | 106 Terrace St, Bethalto, IL 62010 | 2013-04-16 |
| 1538443502 | Rudy Mack | Pharmacist | 172 E Mcarthur Blvd, Bethalto, IL 62010 | 2011-10-07 |
| 1851308092 | Thomas Lawrence Kaltenbronn | Chiropractor | 164 E. Mcarthur, Bethalto, IL 62010 | 2006-08-01 |
| 1124515580 | Stephany Renee Luchtefeld | Nurse Practitioner | 159 E Mcarthur Dr, Bethalto, IL 62010 | 2018-04-20 |
| 1134636491 | Lynley E Atwood, LLC | Optometrist | 422 W Bethalto Dr, Bethalto, IL 62010 | 2018-01-08 |
| 1689101172 | Lindsey Nicole Naylor | Nurse Practitioner | 155 E Bethalto Dr, Bethalto, IL 62010 | 2017-05-16 |
| 1356624894 | Erin Michelle Austin | Pharmacist | 68 N Bellwood Rd, Bethalto, IL 62010 | 2011-09-21 |
| 1114170321 | Danielle Marie Atwood | Occupational Therapist | 1008 2nd St, Bethalto, IL 62010-1027 | 2008-10-31 |
| 1205053196 | Joseph B. Martin | Occupational Therapist | 335 Whispering Oaks Dr, Bethalto, IL 62010-1039 | 2007-04-20 |
| Find all providers in zip 62010 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790898575 | Fay Bagarinao | Family Medicine | 155 E Bethalto Dr, Bethalto, IL 62010-1801 | 2006-08-16 |
| 1346248481 | Phillip Greene | Family Medicine | 159 E Mcarthur Dr, Suite 1, Bethalto, IL 62010-1777 | 2005-07-12 |
| 1780715441 | Fairview Heights Medical Group Sc | Family Medicine | 155 E Bethalto Dr, Bethalto, IL 62010-1801 | 2007-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911495 | Moataz Barkat | Family Medicine | 3315 W 66th Pl, Chicago, IL 60629-3427 | 2020-10-26 |
| 1558969964 | Nicole Kerner | Family Medicine | 310 Brandy Dr, Mackinaw, IL 61755-9707 | 2020-10-16 |
| 1285232991 | Healthy Medical Inc | Family Medicine | 535 N. East St., Suite A, Bradley, IL 60915 | 2020-10-14 |
| 1558976589 | Jasmine Ashley Fowler | Family Medicine | 2416 N Lotus Ave, Chicago, IL 60639-1435 | 2020-09-15 |
| 1790390805 | Kimberly Hannah Kupferberg | Family Medicine | 1103 Schaeffer Rd, Long Grove, IL 60047-5153 | 2020-09-15 |
| 1194330977 | Home Doctors for You | Family Medicine | 670 Illinois Blvd, Hoffman Est, IL 60169-3363 | 2020-09-09 |
| 1245844489 | Jovita Zalwango Nassolo | Family Medicine | 116 1/2 N Benton St Apt 2d, Woodstock, IL 60098-3272 | 2020-09-04 |
| 1720699176 | Healing Hands Resource Center Streator | Family Medicine | 2128 S Central Park Ave, Chicago, IL 60623-3113 | 2020-08-10 |
| 1417565755 | Ghr Total Health and Consulting | Family Medicine | 11336 Mckenna Dr, Frankfort, IL 60423-8096 | 2020-07-22 |
| 1285251892 | Soe Lwin Oo | Family Medicine | 1625 E 75th St # 1, Chicago, IL 60649-3603 | 2020-06-30 |
| Find all providers with the same taxonomy | ||||
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| 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.