DR. WILLIAM TRAVIS BERG


Address: 101 Nicolls Road, Hsc T9-040, Stony Brook, NY 11794
Phone: 6314441910

DR. WILLIAM TRAVIS BERG (NPI# 1184068520) 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) 1184068520
Entity Type Individual
Full Name DR. WILLIAM TRAVIS BERG
Credential MD
Practice Address 101 Nicolls Road
Hsc T9-040
Stony Brook
NY 11794
Mailing Address Po Box 1559
Stony Brook
NY 11790-0989
Practice Telephone 6314441910
Mailing Telephone 9143933355
Enumeration Date 2013-04-27
Last Update Date 2020-08-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208800000X Urology 298949 NY Allopathic & Osteopathic Physicians
N 208800000X Urology MD16713 RI Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
2 Dudley St, Providence, RI 029053236 4014440710
Stony Brook Medicine, Hsc 19-030, Stony Brook, NY 117948191 6314441791

Other Providers WILLIAM BERG

NPI Name Taxonomy Address Enumeration
1114047537 William Gerald Berg Jr. Dentist 30 North 18th Avenue, Sturgeon Bay, WI 54235 2007-03-30
1609996115 William F Berg Chiropractor 1077 State Route 34 Ste B, Matawan, NJ 07747-2151 2007-03-29
1568461507 William E Berg Psychiatry & Neurology 515 Minor Ave, #210, Seattle, WA 98104 2005-07-20
1437594421 William Paul Berg Family Medicine 4095 E Pony Express Pkwy Ste 1, Eagle Mountain, UT 84005-5531 2013-05-03
1700082609 William C Berg Dentist 124 Main St, Suite 15, Huntington, NY 11743-6922 2007-06-26
1497822043 William David Berg Surgery 2501 Keenan Dr, International Falls, MN 56649-2181 2006-11-29
1225009749 William J Berg Internal Medicine 5330 E Stop 11 Rd, Indianapolis, IN 46237-6345 2006-02-01
1730168006 William Berg Radiology 2025 Soquel Ave, Santa Cruz, CA 95062-1323 2006-01-13

Office Location

Street Address 101 NICOLLS ROAD
HSC T9-040
City STONY BROOK
State NY
Zip Code 11794

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922060110 Roberto B Gil Psychiatry & Neurology 101 Nicolls Road, Stony Brook University Hospital, Psychiatry Department, Stony Brook, NY 11794-8101 2006-04-04
1558990002 Katie Elizabeth Brown Student in an Organized Health Care Education/Training Program 101 Nicolls Road, Stony Brook Medicine Hsc Level 11 Rm 040, Stony Brook, NY 11794 2020-04-06
1538797667 Megan Hodges Student in an Organized Health Care Education/Training Program 101 Nicolls Road, Hsc Level 4, Room 050, Stony Brook, NY 11794 2020-04-01
1275161028 Andrew Ramirez Student in an Organized Health Care Education/Training Program 101 Nicolls Road, Hsc Level 4, Room 050, Stony Brook, NY 11794 2020-03-28
1063040806 Daod Pak Student in an Organized Health Care Education/Training Program 101 Nicolls Road, Hsc T12/020, Stony Brook, NY 11794-8121 2020-03-28
1316575277 Zaina Naeem Student in an Organized Health Care Education/Training Program 101 Nicolls Road, Dept of Surgery, Hsc T-19, Rm 030, Stony Brook, NY 11794-8191 2020-03-27
1518594092 Alyssa Kettler Student in an Organized Health Care Education/Training Program 101 Nicolls Road, Hsc Level 4, Room 050, Stony Brook, NY 11794-8350 2020-03-25
1699302083 Ryan Clark Earwood Student in an Organized Health Care Education/Training Program 101 Nicolls Road, Hsc Level 4, Room 050, Stony Brook, NY 11794 2020-03-25
1134756687 Dawei Wu Student in an Organized Health Care Education/Training Program 101 Nicolls Road, Health Sciences Center Level 4, Room 176, Stony Brook, NY 11794-8430 2020-03-25
1659908234 James Richard Mattson Student in an Organized Health Care Education/Training Program 101 Nicolls Road, Health Science Center T16, Room 020, Stony Brook, NY 11794 2020-03-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619506714 Ryan John Kottmeier Physician Assistant 101 Nicolls Road Suny Stony Brook Hospital, Dept of Orthopedics Hsc T18, Room 080, Stony Brook, NY 11794 2020-04-02
1699302109 Michael Trentalange Student in an Organized Health Care Education/Training Program Department of Surgery, Health Sciences Center Level 19, Room 030, Stony Brook, NY 11794 2020-03-25
1164985156 Lauren Kate Harris Student in an Organized Health Care Education/Training Program Stony Brook Medicine, Department of Ob/gyn, Hsc T9, 101 Nicolls Road, Stony Brook, NY 11794 2019-04-08
1851851448 Kathy Tin Student in an Organized Health Care Education/Training Program Dept of Medicine Hsc 16 Suny Stony Brook Hospital, Stony Brook, NY 11794 2019-03-21
1174083703 Arham Khan Student in an Organized Health Care Education/Training Program Dept of Medicine Hsc Level 16, Suny Stony Brook Hosp, Stony Brook, NY 11794 2019-03-20
1396221982 Aman Bhojani Student in an Organized Health Care Education/Training Program Suny At Stony Brook Dental School, South Drive, Stony Brook, NY 11794 2018-07-17
1699265629 Belliny Phaeton Student in an Organized Health Care Education/Training Program Stony Brook Children's Hospital, Hsc T-11, Room 040, Stony Brook, NY 11794 2018-05-15
1629568969 Rachel Herold Student in an Organized Health Care Education/Training Program Stony Brook Children's Department of Pediatrics, Hsc T-11, Room 040, Stony Brook, NY 11794 2018-05-11
1598254419 Nora Ann Diraimondo Nurse Practitioner Sb Hospital 101 Nicolls Road, Department of Medicine, Stony Brook, NY 11794 2018-05-07
1386140705 Ryan Christopher Corn Student in an Organized Health Care Education/Training Program Dept. of Internal Medicine, Hsc Level 16-020, Suny Stony Brook, Stony Brook, NY 11794 2018-04-04
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Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649591777 David Micahel Golombos Urology Suny Stony Brook Health Sciences Ctr, Stony Brook, NY 11794-2012 2010-06-11
1528202835 Steven J Weissbart Urology Stony Brook Department of Urology Hsc 9, Stony Brook, NY 11794-0989 2009-04-30
1891959292 Anthony Thomas Corcoran Urology Department of Urology Hsc9 Room 040, Stony Brook University Hospital, Stony Brook, NY 11794-8093 2008-07-15
1275707846 Jason Michael Kim Urology Department of Urology Hsc 9, Stony Brook University Medical Center, Stony Brook, NY 11794-7148 2008-04-15
1962522318 Massimiliano Spaliviero Urology Hsc Level 9 Urology, Room 040, Stony Brook, NY 11794-8093 2007-03-30
1548234156 Albert N Kim Urology 2500 Nesconset Hwy Bldg 21a, Stony Brook, NY 11790-2598 2006-02-13
1467622266 A Kim Medical PC Urology 2500 Nesconset Hwy, Building 21a, Stony Brook, NY 11790-2555 2008-03-07
1831138049 Daniel Han Urology 2500 Nesconset Hwy, Building 21a, Stony Brook, NY 11790-2555 2006-06-05
1558334342 Albert Kim, Md,pc Urology 2500 Nesconset Hwy, Bldg #21 Ste 6, Stony Brook, NY 11790-2555 2006-02-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1639787955 Alexandra Gavalo-yacco Urology 100 S Bedford Rd, Mount Kisco, NY 10549-3425 2020-07-22
1710503230 Alan Hugh Bennett Urology 592 State Route 28, Raquette Lake, NY 13436-1907 2020-06-20
1518587294 Nitin Sharma Urology 755 N Broadway Ste 510, Sleepy Hollow, NY 10591-1084 2020-04-22
1730714221 Total Urology Office Based Surgery LLC Urology 7 W 51st St Ste 1&4, 8th Floor, New York, NY 10019-6910 2020-03-05
1588298053 Lake Country Urology Pllc Urology 400 5th Avenue, Brooklyn, NY 11215-3337 2020-02-24
1639709561 American Medical PC Urology 45 W 34th St Rm 901, New York, NY 10001-3145 2020-01-20
1659917243 Hanan Goldberg Urology 1676 Sunset Ave Fl 2, Utica, NY 13502-5416 2019-11-19
1063065787 Edward Ezrick, M.d., P.C. Urology 7210 13th Ave Fl 3, Brooklyn, NY 11228-2009 2019-07-22
1902464720 Manzoor Ul Mahbub Urology 8268 164th St Rm P129, Jamaica, NY 11432-1121 2019-06-05
1548728058 Jose Miguel Flores Martinez Urology 16 E 60th St Ste 402, New York, NY 10022-1096 2019-03-05
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Competitor

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City STONY BROOK
Zip Code 11794

Improve Information

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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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