DR. STEPHEN CHARLES BERG (NPI# 1548539125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548539125 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN CHARLES BERG |
| Credential | D.M.D. |
| Practice Address |
374 Medical Group Unit 5224 Apo AP 96328-5224 |
| Mailing Address |
2133 Pepperrell St Building 3352 Jbsa Lackland TX 78236-5313 |
| Practice Telephone | 3152253671 |
| Mailing Telephone | 2102926258 |
| Mailing Fax Number | 2102922618 |
| Enumeration Date | 2011-12-28 |
| Last Update Date | 2020-03-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
27512 | TX | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508867243 | Stephen M Berg | Internal Medicine | 9330 Kenwood Rd, Cincinnati, OH 45242-6810 | 2005-08-03 |
| Street Address |
374 MEDICAL GROUP UNIT 5224 |
| City | APO |
| State | AP |
| Zip Code | 96328-5224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740520337 | Cindy L Lan | Dentist | 374th Dental Squadron Yokota Ab, Apo, AP 96328 | 2013-02-19 |
| 1679834964 | Joshua W Donart | Internal Medicine | 374 Medical Group Internal Medicine Clinic, Unit 5071 Bldg 4408, Apo, AP 96328 | 2012-06-03 |
| 1306071048 | Jason Frederick Koesters | Dentist | 374 Mdg, Unit 5071, Apo, AP 96328 | 2009-05-26 |
| 1720221948 | Roberto Ocampo Gutierrez | Military Health Care Provider | Mdos, Unit 5227, Apo, AP 96328 | 2009-04-17 |
| 1285877498 | Stephen Jerome White | Military Health Care Provider | 374 Msgs/sgne, Unit 5071, Apo, AP 96328 | 2009-04-17 |
| 1396900536 | Jay Matthew Butler | Optometrist | 374th Medical Group/optometry, Yokota Air Base, Japan, Apo, AP 96328 | 2008-07-28 |
| 1689708588 | Wendy Irelan Conway | Obstetrics & Gynecology | 374 Mdg/sgopo, Unit 5071, Apo, AP 96328 | 2007-03-15 |
| 1154427631 | Von F. Borg | Counselor | Yokota Air Base, Unit 5071, Apo, AP 96328 | 2006-09-15 |
| 1649294810 | Doris Ann Boyd | Social Worker | 374 Mdos/sgomhf, Unit 5227, Apo, AP 96328 | 2006-07-27 |
| 1073558961 | Melissa L Tennant | Physical Therapist | Yokota Ab, Japan, Unit 5071, Apo, AP 96328 | 2006-06-17 |
| Find all providers in zip 96328 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154938520 | Jacob Steven Blackhurst | Dentist | Bldg 4-1838 Normandy Dr, Apo, AA 28307-7302 | 2020-09-29 |
| 1669088852 | Matthew Dejong | Dentist | Kleber Dental Clinic, Bldg 3287, Apo, AE 09227 | 2020-09-22 |
| 1184236895 | Christina Belousov | Dentist | 14351 Battalion Ave, Apo, AA 76544 | 2020-08-24 |
| 1417503459 | Cooper Pasque | Dentist | 1838 Normandy Dr., Fort Bragg, Apo, AA 28310 | 2019-08-15 |
| 1659927937 | Benjamin Kyunghan Yoon | Dentist | 618th Dental Company, Carius Dental Clinic Unit #15652, Attn: Credentails Coordinator, Apo, AP 96271-5245 | 2019-08-13 |
| 1477108967 | Shane Clay Hoffner | Dentist | 618th Dental Co, Carius Dental Clinic Bldg# P3020, Attn: Credentials Office, Apo, AP 96271-5245 | 2019-08-02 |
| 1740848449 | Samuel Kong Hmong Lo | Dentist | Carius Dental Clinic, Unit 15652, Apo, AP 96271 | 2019-05-29 |
| 1437712130 | Andrea Rose Deese | Dentist | Raf Lakenheath 48 Mdg / Sghc, Unit 5115, Apo, AE 09461-5115 | 2019-04-17 |
| 1871052837 | Ryan Kenny Zarnowski | Dentist | 673 Mdg, 5955 Zeamer Avenue, Jber, Ak 99506, Apo, AA 99506 | 2019-03-18 |
| 1619440922 | Joo Park | Dentist | Cmr 402 Unit 33301, Apo, AE 09180 | 2019-01-09 |
| Find all providers in APO | ||||
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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.