DR. TIMOTHY A BERG (NPI# 1568494490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568494490 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY A BERG |
| Credential | MD |
| Practice Address |
700 Scott and White Dr College Station TX 77845 |
| Mailing Address |
Po Box 844658 Dallas TX 75284-4658 |
| Practice Telephone | 9792070100 |
| Practice Fax Number | 9792072161 |
| Mailing Telephone | 8009940371 |
| Mailing Fax Number | 2542159722 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2018-12-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | KO635 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | P082X5424 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 251 Cully Dr, Kerrville, TX 780286083 | 8308966262 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679192645 | Timothy Berg | Student in an Organized Health Care Education/Training Program | 4777 E Galbraith Rd, Cincinnati, OH 45236-2725 | 2020-04-10 |
| 1740828946 | Timothy Berg | Rehabilitation Practitioner | 4285 N Rancho Dr, Las Vegas, NV 89130-3446 | 2019-12-18 |
| 1760813026 | Timothy Berg | Pharmacist | 2325 Village Lake Dr, Charlotte, NC 28212-0081 | 2013-12-11 |
| 1831525062 | Timothy Allen Berg | Counselor | 1170 Pearl St, Eugene, OR 97401-3541 | 2013-09-19 |
| Street Address |
700 SCOTT AND WHITE DR |
| City | COLLEGE STATION |
| State | TX |
| Zip Code | 77845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134125305 | Ben L Sueoka | Radiology | 700 Scott and White Dr, College Station, TX 77845-6441 | 2005-06-22 |
| 1386208452 | Faranaz Majid Velani Hoodani | Registered Nurse | 700 Scott and White Dr, College Station, TX 77845-6441 | 2019-04-24 |
| 1801383930 | Ross Hunter | Nurse Anesthetist, Certified Registered | 700 Scott and White Dr, College Station, TX 77845-6441 | 2018-04-14 |
| 1982107504 | Genevieve Lois Gourlay | Physician Assistant | 700 Scott and White Dr, College Station, TX 77845-6441 | 2018-03-09 |
| 1992211155 | Shannon Lloyd | Dietitian, Registered | 700 Scott and White Dr, College Station, TX 77845-6441 | 2017-12-22 |
| 1184130080 | Steven Christian Piwonka | Nurse Anesthetist, Certified Registered | 700 Scott and White Dr, College Station, TX 77845-6441 | 2017-12-14 |
| 1730690637 | Jason David Jennings | Physical Therapist | 700 Scott and White Dr, College Station, TX 77845-6441 | 2017-10-18 |
| 1831616440 | Richard Torio | Nurse Anesthetist, Certified Registered | 700 Scott and White Dr, College Station, TX 77845-6441 | 2017-08-24 |
| 1508396250 | Jeffrey Barrett Moore | Nurse Anesthetist, Certified Registered | 700 Scott and White Dr, College Station, TX 77845-6441 | 2017-06-15 |
| 1528512662 | Lisa Carter | Nurse Anesthetist, Certified Registered | 700 Scott and White Dr, College Station, TX 77845-6441 | 2016-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518503101 | Aggieland Urgent Care Pllc | Clinic/Center | 13055 Fm 2154 Rd, College Station, TX 77845 | 2019-11-19 |
| 1770053399 | Alyssa Nicole Sanchez | Licensed Vocational Nurse | 4030 Hwy 6 S 150, College Station, TX 77845 | 2018-11-27 |
| 1154805778 | Medical Care Innovation, P.C. | Clinic/Center | 200 Quality Circle, College Station, TX 77845 | 2018-09-19 |
| 1003302530 | Kaye Lynn Tseng | Registered Nurse | 4030 Hightway 6 South, College Station, TX 77845 | 2018-07-09 |
| 1083117907 | College Station Dentistry and Orthodontics Pllc | Dentist | 11671 Fm 2154, Suite 400, College Station, TX 77845 | 2018-03-16 |
| 1912409954 | H-e-b, Lp | Clinical Medical Laboratory | 11675 Fm 2154, College Station, TX 77845 | 2018-03-06 |
| 1871095745 | Gregory Nicholas Perry | Physical Therapist | 4091 Sh 6 South, Suite B, College Station, TX 77845 | 2018-03-06 |
| 1811435639 | Michael Patke | Student in an Organized Health Care Education/Training Program | 10613 Deer Run Dr., College Station, TX 77845 | 2017-02-01 |
| 1558810473 | Sara Beth Williamson | Nurse Practitioner | 4401 State Hwy 6 S, College Station, TX 77845 | 2016-10-04 |
| 1881067379 | Kieshia Lewis | Occupational Therapy Assistant | 2700 Earl Rudder Frwy Suite 1200, College Station, TX 77845 | 2015-11-05 |
| Find all providers in zip 77845 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023118502 | John Wesley Williams | Surgery | 1602 Rock Prairie Rd Ste 3000, College Station, TX 77845-5989 | 2006-09-24 |
| 1679984454 | Trevor Wade Tumlinson | Surgery | 700 Scott and White Dr, College Station, TX 77845-6441 | 2014-05-14 |
| 1881856060 | Charles Matthew Jordan | Surgery | 800 Scott and White Blvd, College Station, TX 77840-5601 | 2008-06-27 |
| 1578788519 | Brazos Wound Associates, Pa | Surgery | 1605 Rock Prairie Rd, Suite 102, College Station, TX 77845-8358 | 2007-04-16 |
| 1851339378 | Eric Jerome Gourley | Surgery | 800 Scott and White Dr, College Station, TX 77845-6440 | 2006-06-04 |
| 1609835479 | Dirk Levan Boysen | Surgery | 800 Scott and White Dr, College Station, TX 77845-6440 | 2006-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972110971 | Metroplex Surgical Institute Pllc | Surgery | 2937 Lago Vista Ln, Rockwall, TX 75032-5466 | 2020-09-24 |
| 1881209708 | Preva Surgical Partners Cypress LLC | Surgery | 13114 Fm 1960 Rd W Ste 118, Houston, TX 77065-5590 | 2020-09-09 |
| 1063021749 | Brooke Nicole Harris | Surgery | 355 E Vista Ridge Mall Dr Apt 4933, Lewisville, TX 75067-4024 | 2020-07-28 |
| 1609484872 | Deepak Dev Vivekanandan | Surgery | 7703 Floyd Curl Dr # Mc-7742, San Antonio, TX 78229-3901 | 2020-07-14 |
| 1760009195 | Tomball Surgical Assistant Service LLC | Surgery | 18220 Tomball Pkwy # 249, Houston, TX 77070-4347 | 2020-07-01 |
| 1174147086 | North Texas General Surgery Pllc | Surgery | 1600 Coit Rd Ste 207, Plano, TX 75075-6172 | 2020-06-05 |
| 1619591690 | Expert Surgical, Pllc | Surgery | 3537 S I 35 E Ste 200, Denton, TX 76210-6814 | 2020-06-04 |
| 1831712314 | Merten Gene Pearson | Surgery | 7306 Sw 34th Ave Ste 6, Amarillo, TX 79121-1446 | 2020-05-19 |
| 1558983098 | Aleshia Yvette Toler-levi | Surgery | 405 Schley Ave, Orange, TX 77630-3503 | 2020-05-06 |
| 1508487570 | Somkenechi Ijeoma Ajene | Surgery | 301 University Boulevard, 6.136-b John Sealy Annex, Galveston, TX 77555-0534 | 2020-05-01 |
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| City | COLLEGE STATION |
| Zip Code | 77845 |
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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.