KENNETH C BERG


Address: 525 W River Woods Pkwy Ste 100, Glendale, WI 53212-1010
Phone: 4143326262

KENNETH C BERG (NPI# 1578981213) 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) 1578981213
Entity Type Individual
Full Name KENNETH C BERG
Credential M.D.
Practice Address 525 W River Woods Pkwy Ste 100
Glendale
WI 53212-1010
Practice Telephone 4143326262
Practice Fax Number 4143320422
Mailing Telephone 4143326262
Mailing Fax Number 4143320422
Enumeration Date 2014-03-31
Last Update Date 2019-06-25
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207X00000X Orthopaedic Surgery 64556 WI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WI 1578981213 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
9200 W Wisconsin Ave, Milwaukee, WI 532263522 4148057433
W62n208 Washington Ave, Cedarburg, WI 530122763 2623767480 2623754700

Other Providers KENNETH BERG

NPI Name Taxonomy Address Enumeration
1669840518 Kenneth Richard Berg Dentist 3550 Sw Bond Ave, Portland, OR 97239-4507 2015-09-09
1164704953 Kenneth Aaron Berg Emergency Medicine 7500 State Rd, Cincinnati, OH 45255-2439 2011-09-16
1790869865 Kenneth A. Berg Psychiatry & Neurology 99 Montecillo Rd, San Rafael, CA 94903-3308 2006-10-25
1699878223 Kenneth E Berg Social Worker 1000 N Oak Ave, Marshfield, WI 54449 2006-09-07

Office Location

Street Address 525 W RIVER WOODS PKWY STE 100
City GLENDALE
State WI
Zip Code 53212-1010

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336143353 Rory R Wright Orthopaedic Surgery 525 W River Woods Pkwy Ste 100, Glendale, WI 53212-1010 2005-06-08
1881156107 Zoe Ziegler Physician Assistant 525 W River Woods Pkwy Ste 100, Glendale, WI 53212-1010 2019-04-04
1972879534 Alexander Michael Riordan Orthopaedic Surgery 525 W River Woods Pkwy Ste 100, Glendale, WI 53212-1010 2012-03-28
1881686780 Todd M Swenson Orthopaedic Surgery 525 W River Woods Pkwy Ste 100, Glendale, WI 53212-1010 2005-08-17
1316939259 Dean W Ziegler Orthopaedic Surgery 525 W River Woods Pkwy Ste 100, Glendale, WI 53212-1010 2005-08-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609481001 Beth Leanna Counselor Benedict Center 1849 N Dr. Marin Luther King Dr., Suite 101, Milwaukee, WI 53212 2020-09-11
1326683749 A.b.d.h. Counseling Services LLC Clinic/Center 518 E Concordia Avenue, Milwaukee, WI 53212 2019-11-08
1467095703 Ifrah Hameed Psychologist 1849 N Doctor M.l.k. Jr Dr# 101, Milwaukee, WI 53212 2019-10-18
1386293330 Rachel Mae Nelson Bagha Student in an Organized Health Care Education/Training Program 1849 N Doctor M.l.k. Jr Dr #101, Milwaukee, WI 53212 2019-09-11
1164085205 Mary Sue Daase Bowen Counselor 2821 N 4th Street, Milwaukee, WI 53212 2019-04-15
1649733189 Stacey King Counselor Rivershore Comprehensive Treatment Facility, 3703 N Richards St, Milwaukee Wi, Milwaukee, WI 53212 2019-04-11
1710447701 Scott William Stauder Student in an Organized Health Care Education/Training Program 1121 E. North Ave., Milwaukee, WI 53212 2019-03-25
1821561168 Lydia Ann Mendez Counselor 3703 N Richards St, Milwaukee, WI 53212 2019-01-09
1851863302 Glen Victor Fleming Counselor 2821 North 4th Street Suite 210, Milwaukee, WI 53212 2018-12-21
1093285140 Megan Marie Volp Advanced Practice Midwife 2555 N Doctor M.l.k. Jr Dr, Milwaukee, WI 53212 2018-12-03
Find all providers in zip 53212

Taxonomy Information

Taxonomy Code 207X00000X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery

Taxonomy Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679113849 G2 Physicians LLC Orthopaedic Surgery 20280 N 59th Ave Ste 115-528, Glendale, AZ 85308-6850 2020-01-15
1174014864 Phoenix Orthopaedic Consultants, P.C. Orthopaedic Surgery 18699 N 67th Ave Ste 120, Glendale, AZ 85308-7141 2018-05-29
1346586013 Integrated Medical Services Inc Orthopaedic Surgery 7330 N 99th Ave # 325, Glendale, AZ 85307-3003 2012-12-27
1558621870 Nick Ghazarian Orthopaedic Surgery 222 W Eulalia St Ste 309, Glendale, CA 91204-2851 2012-05-21
1326360231 Orthopedic Specialists of North America, Pllc Orthopaedic Surgery 18555 N 79th Ave Ste E101, Glendale, AZ 85308-8392 2010-02-18
1497935290 Thomas B. Huizenga, M.d.,s.c. Orthopaedic Surgery 525 W River Woods Pkwy Ste 130, Glendale, WI 53212-1010 2007-11-08
1164648242 Frank Hyman Kanovsky Orthopaedic Surgery 655 N Central Ave, Suite 900, Glendale, CA 91203-1422 2007-04-18
1962628388 Leah Cyran Orthopaedic Surgery 1500 E Chevy Chase Dr Ste 401b, Glendale, CA 91206-4152 2007-04-17
1134214091 Vahan Cepkinian Orthopaedic Surgery 222 W Eulalia #300, Glendale, CA 91204 2006-10-04
1770684946 Edward G Stokes Orthopaedic Surgery 610 North Central Avenue, 207, Glendale, CA 91203-1403 2006-09-26
Find all providers in GLENDALE

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City GLENDALE
Zip Code 53212

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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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