DR. BRIAN C BERG (NPI# 1285719468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285719468 |
| Entity Type | Individual |
| Full Name | DR. BRIAN C BERG |
| Credential | DMD |
| Practice Address |
210 Hospital Cir Choctaw MS 39350-6781 |
| Practice Telephone | 6013894033 |
| Practice Fax Number | 6013894031 |
| Mailing Telephone | 6013894033 |
| Mailing Fax Number | 6013894031 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2015-04-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 225786 | MS | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00060303 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679989149 | Brian Berg | Emergency Medical Technician, Basic | 1210 Crossfield Dr, Apopka, FL 32703-1540 | 2014-07-06 |
| 1669962841 | Brian Berg | Emergency Medicine | 455 Toll Gate Rd, Warwick, RI 02886 | 2018-05-14 |
| 1083143564 | Brian William Berg | Internal Medicine | 245 N 15th St Fl 6, Ms 427, Philadelphia, PA 19102-1101 | 2017-06-08 |
| 1942667571 | Brian Daniel Berg | Chiropractor | 909 Sumneytown Pike, Suite 107, Spring House, PA 19477-1011 | 2016-01-27 |
| 1598839599 | Brian Michael Berg | Dentist | 1901 S Union Ave Ste B5006, Tacoma, WA 98405-1805 | 2006-11-20 |
| 1578650065 | Brian Berg | Pathology | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2006-10-06 |
| 1992740237 | Brian Berg | Emergency Medicine | 1255 Hilyard St, Eugene, OR 97401-3718 | 2006-06-19 |
| Street Address |
210 HOSPITAL CIR |
| City | CHOCTAW |
| State | MS |
| Zip Code | 39350-6781 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154321354 | Ethel S Beasley | Internal Medicine | 210 Hospital Cir, Choctaw, MS 39350-6781 | 2005-07-28 |
| 1265999247 | Kimberly Lynn Eldridge | Nurse Practitioner | 210 Hospital Cir, Choctaw, MS 39350-6781 | 2019-02-26 |
| 1508322421 | Tiah Rae York | Registered Nurse | 210 Hospital Cir, Choctaw, MS 39350-6781 | 2019-02-15 |
| 1194280883 | Karen Louise Miller | Nurse Practitioner | 210 Hospital Cir, Choctaw, MS 39350-6781 | 2019-02-06 |
| 1669957833 | Annette Marie Lewis | Social Worker | 210 Hospital Cir, Choctaw, MS 39350-6781 | 2018-10-03 |
| 1124507223 | Lindsey E Wilson | Dietitian, Registered | 210 Hospital Cir, Choctaw, MS 39350-6781 | 2018-08-09 |
| 1538648639 | Natalie A Byram | Dietitian, Registered | 210 Hospital Cir, Choctaw, MS 39350-6781 | 2018-08-09 |
| 1982183083 | Allison Boatner | Dietitian, Registered | 210 Hospital Cir, Choctaw, MS 39350-6781 | 2018-08-09 |
| 1255843033 | Shannon Victoria Johnson | Nurse Practitioner | 210 Hospital Cir, Choctaw, MS 39350-6781 | 2017-11-01 |
| 1780105239 | Anna Clare Saxon | Dentist | 210 Hospital Cir, Choctaw, MS 39350-6781 | 2017-07-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548817133 | Airpark Family Dentistry | Dentist | 1060 Holland Avenue, Philadelphia, MS 39350 | 2019-08-20 |
| 1396303962 | Medical Foundation Inc | Obstetrics & Gynecology | Rush Medical Group / Philadelphia, 1106 Central Drive, Ste 3, Philadelphia, MS 39350 | 2019-05-30 |
| 1144759580 | Mapp Home Care Services | In Home Supportive Care | 41 Eastover Dr, Philadelphia, MS 39350 | 2017-06-08 |
| 1710411707 | Rcg Mississippi, Inc. | Clinic/Center | 1100 Central Drive, Philadelphia, MS 39350 | 2017-04-17 |
| 1114339405 | Bernard Oneal | Adult Companion | 10090 Rd 0022, None, Philadelphia, MS 39350 | 2014-05-21 |
| 1417213323 | Region Ten Commision On Mental Health | Clinic/Center | 1011 Posey Avenue, Philadelphia, MS 39350 | 2012-04-04 |
| 1851427132 | Performance Therapy LLC | Physical Therapist | Performance Therapy, LLC, 921 W Beacon Street, Philadelphia, MS 39350 | 2007-02-23 |
| 1922161900 | Ernest Barton Cross | Audiologist | 1120 East Main Street, Suite 4, Philadelphia, MS 39350 | 2006-12-19 |
| 1649348129 | Augustus P Soriano | Family Medicine | 517 Center Avenue, Philadelphia, MS 39350 | 2006-12-01 |
| 1982777983 | Bill G Molpus | Dentist | 247 Byrd Ave, Philadelphia, MS 39350 | 2006-11-16 |
| Find all providers in zip 39350 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699049114 | Choctaw Dental Pllc | Dentist | 2080 Harper St, Choctaw, OK 73020-8051 | 2012-03-01 |
| 1629246152 | Roger Lynn Bryant | Dentist | 14461 Ne 23rd Street, Choctaw, OK 73020-0715 | 2008-02-19 |
| 1760466833 | Darek Kevin Ridpath | Dentist | 2408 Main St, Choctaw, OK 73020-6666 | 2005-12-02 |
| 1780105239 | Anna Clare Saxon | Dentist | 210 Hospital Cir, Choctaw, MS 39350-6781 | 2017-07-05 |
| 1568842334 | Elijah Ransom Love | Dentist | 210 Hospital Cir, Choctaw, MS 39350-6781 | 2015-06-05 |
| 1861805582 | Allison Porter | Dentist | 2401 N Henney Rd, Choctaw, OK 73020-8751 | 2014-06-10 |
| 1639519895 | David Adams Harbarger | Dentist | 210 Hospital Cir, Choctaw, MS 39350-6781 | 2013-07-02 |
| 1881958924 | Lindsay Atkins | Dentist | 210 Hospital Cir, Choctaw, MS 39350-6781 | 2012-07-03 |
| 1720389794 | Jennifer Michelle Waller-smith | Dentist | 210 Hospital Cir, Choctaw, MS 39350-6781 | 2010-11-08 |
| 1073715579 | Mississippi Band of Choctaw Indians | Dentist | 210 Hospital Cir, Choctaw, MS 39350-6781 | 2007-06-05 |
| Find all providers in CHOCTAW | ||||
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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.