ROBERT J BERG, MD PA (NPI# 1528245404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528245404 |
| Entity Type | Organization |
| Organization Name | ROBERT J BERG, MD PA |
| Practice Address |
2024 15th St Suite 500 Meridian MS 39301-4130 |
| Practice Telephone | 6014825174 |
| Mailing Telephone | 6014825174 |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2014-03-18 |
| Authorized Official Name | DR. ROBERT J BERG (OWNER) |
| Authorized Official Telephone | 6014825174 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 06978 | MS | Other Service Providers |
| Street Address |
2024 15TH ST SUITE 500 |
| City | MERIDIAN |
| State | MS |
| Zip Code | 39301-4130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730182007 | Harry Durgin | Orthopaedic Surgery | 2024 15th St, Ste 4n, Meridian, MS 39301-4130 | 2005-05-31 |
| 1508403429 | Melissa Lynn Mcelhenney | Nurse Practitioner | 2024 15th St, Meridian, MS 39301-4104 | 2019-12-10 |
| 1912299496 | Sharon Marie Brady | Nurse Practitioner | 2024 15th St, Fl 2, Meridian, MS 39301-4130 | 2011-05-03 |
| 1669770772 | Anderson Physician Alliance, Inc | Internal Medicine | 2024 15th St, 4th Floor, Meridian, MS 39301 | 2011-03-14 |
| 1124119862 | Medical Arts Pediatric Clinic | Pediatrics | 2024 15th St, 5th Floor North, Meridian, MS 39301-4130 | 2006-09-27 |
| 1871694224 | Greg S Maranto | Pediatrics | 2024 15th St, 5th Floor North, Meridian, MS 39301-4130 | 2006-09-26 |
| 1104927516 | William B Simmons | Pediatrics | 2024 15th St, 5th Floor North, Meridian, MS 39301-4130 | 2006-09-26 |
| 1447364849 | Jeff Anderson Regional Medical Center | Durable Medical Equipment & Medical Supplies | 2024 15th St, First Floor Medical Towers, Meridian, MS 39301-4130 | 2006-08-19 |
| 1114901063 | Robert John Berg | Specialist | 2024 15th St, Suite 500, Meridian, MS 39301-4130 | 2005-12-05 |
| 1336122845 | Cook Eye Center | Ophthalmology | 2024 15th St, Suite 5d, Meridian, MS 39301-4130 | 2005-11-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407460439 | Kayla Lee Monsour | Pharmacist | 1415 24th Avenue, Meridian, MS 39301 | 2020-09-08 |
| 1306478359 | K&r Optical Solutions Corporation | Eyewear Supplier (Equipment, not the service) | 3126 8th St., Suite A, Meridian, MS 39301 | 2020-02-07 |
| 1912537317 | Courtney M Hollie | Counselor | 1054 Ms-19, Meridian, MS 39301 | 2020-01-24 |
| 1932636495 | Rcg Mississippi, Inc. | Clinic/Center | 1300 38th Ave E, Meridian, MS 39301 | 2017-05-16 |
| 1811428915 | Tierria Mcglothin | Nurse Practitioner | 1054 Highway 19 S, Meridian, MS 39301 | 2017-03-21 |
| 1154869303 | Lindsay Nemanich | Physical Therapist | 3716 Ms-39, Meridian, MS 39301 | 2017-02-08 |
| 1700323599 | Wal-mart Stores East Lp | Pharmacy | 3310-a Highway 39 North, Meridian, MS 39301 | 2017-01-31 |
| 1972977460 | Southeast Pharmacy LLC | Pharmacy | 2402 Long Creek Road, Meridian, MS 39301 | 2015-11-20 |
| 1235508342 | East Mississippi Oral & Facial Surgery, LLC | Clinic/Center | 1212 24th Avenue, Meridian, MS 39301 | 2015-09-18 |
| 1831580778 | Clarkdale Pharmacy and Gifts LLC | Pharmacy | 6935c Hwy 145, Meridian, MS 39301 | 2015-02-13 |
| Find all providers in zip 39301 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821486812 | Tami Sue Lee | Specialist | 841 E Fairview Ave Ste 100, Meridian, ID 83642-9386 | 2014-12-29 |
| 1164822029 | Robert Francis Malison | Specialist | 3975 E Clocktower Ln Apt 326, Meridian, ID 83642-9141 | 2014-08-28 |
| 1073788337 | Cheree L Eveland | Specialist | 3455 Woodmont Dr, Meridian, ID 83646-1166 | 2008-04-28 |
| 1952504623 | Benjamin Edgar Box | Specialist | 4807 11th Pl, Meridian, MS 39305-2771 | 2007-06-08 |
| 1669594974 | Mark Garry Murray | Specialist | 1400 20th Ave Ste C, Meridian, MS 39301-4103 | 2007-04-06 |
| 1811081896 | Adam M Cope | Specialist | 2176 E Franklin Rd, Suite 100, Meridian, ID 83642-9024 | 2006-10-03 |
| 1366536609 | Charles Guy Riddle | Specialist | 1626 S Wells Ave Ste 105, Meridian, ID 83642-4528 | 2006-10-03 |
| 1043318280 | Lee Kinsey Thornton | Specialist | 5002 Highway 39 N Bldg C, Meridian, MS 39301-1078 | 2006-09-20 |
| 1154423804 | Woody D. Davis | Specialist | 5002 Highway 39 N, Bldg. B, Meridian, MS 39301-1078 | 2006-09-02 |
| 1144275694 | Robert Lantz Davidson | Specialist | 3525 E Louise Dr Ste 195, Meridian, ID 83642 | 2006-05-23 |
| Find all providers in MERIDIAN | ||||
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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.