DR. EVAN BERG


Address: 50 N Perry St, Pontiac, MI 48342-2217
Phone: 2483385000

DR. EVAN BERG (NPI# 1811425226) 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) 1811425226
Entity Type Individual
Full Name DR. EVAN BERG
Credential DO
Practice Address 50 N Perry St
Pontiac
MI 48342-2217
Practice Telephone 2483385000
Enumeration Date 2017-05-30
Last Update Date 2017-07-10
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207P00000X Emergency Medicine 5101023211 MI Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers EVAN BERG

NPI Name Taxonomy Address Enumeration
1497297873 Evan Berg Social Worker 1145 Sagamore Ave, Portsmouth, NH 03801-5503 2016-11-16
1821261512 Evan Ross Berg Student in an Organized Health Care Education/Training Program 185 Pilgrim Rd, Deaconess 311, Boston, MA 02215-5324 2008-04-02
1982692596 Evan R Berg Emergency Medicine 1 Boston Medical Ctr Pl, Dowling 1 South, Boston, MA 02118-2908 2005-10-07

Office Location

Street Address 50 N PERRY ST
City PONTIAC
State MI
Zip Code 48342-2217

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003890856 Matthew Swayze Emergency Medicine 50 N Perry St, Pontiac, MI 48342-2217 2005-12-05
1962000539 Belinda Becker Nurse Practitioner 50 N Perry St, Pontiac, MI 48342-2217 2020-10-15
1336765486 Mikita Patel Student in an Organized Health Care Education/Training Program 50 N Perry St, Pontiac, MI 48342-2217 2020-06-24
1306461264 Brandon Knight Student in an Organized Health Care Education/Training Program 50 N Perry St, Pontiac, MI 48342-2217 2020-06-16
1295350122 Stephanie Schwartz Student in an Organized Health Care Education/Training Program 50 N Perry St, Pontiac, MI 48342-2217 2020-06-16
1437774833 Cailyn D'haem Student in an Organized Health Care Education/Training Program 50 N Perry St, Pontiac, MI 48342-2217 2020-06-11
1790300358 Sara F Iqbal Student in an Organized Health Care Education/Training Program 50 N Perry St, Pontiac, MI 48342-2217 2020-06-10
1053936617 Bodrie J Jensen Student in an Organized Health Care Education/Training Program 50 N Perry St, Pontiac, MI 48342-2217 2020-06-10
1033734694 Neal R Krentz Student in an Organized Health Care Education/Training Program 50 N Perry St, Pontiac, MI 48342-2217 2020-06-10
1154946713 Gurkirat Jawanda Student in an Organized Health Care Education/Training Program 50 N Perry St, Pontiac, MI 48342-2217 2020-06-10
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528589561 Beloved Home Care LLC. Home Health 12 S Mill. St., Apt.314, Pontiac, MI 48342 2017-06-29
1518496942 Boris Tkach Student in an Organized Health Care Education/Training Program 50 N. Perry, Pontiac, MI 48342 2017-06-08
1023547429 Nicholas James Stepanski Student in an Organized Health Care Education/Training Program 50 N. Perry St., Pontiac, MI 48342 2017-06-08
1245769991 Mecca House Corporation Assisted Living Facility 53 West Huron, Pontiac, MI 48342 2017-06-07
1134672868 Shannon Blaine Technician, Other 103 Parkhurst Street, Pontiac, MI 48342 2016-07-29
1669819249 Bonnie Ann Smith Occupational Therapist 60 Parkhurst Dr., Pontiac, MI 48342 2013-05-23
1205123361 Mary Ellen Kenworthy Emergency Medicine 50 North Perry Street, Pontiac, MI 48342 2011-07-08
1740516343 Nathima Habib Atchoo Obstetrics & Gynecology 90 West University, Gary Burnstein Community Health Clinic (free Clinic), Pontiac, MI 48342 2009-11-02
1881824233 Sylvia Lyn Thompson Physical Therapist 900 Auburn Road, Pontiac, MI 48342 2009-07-20
1114154150 Kyannah Toyann Anderson Home Health 175 S.edith St, Pontiac, MI 48342 2009-06-17
Find all providers in zip 48342

Taxonomy Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source]
- Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205123361 Mary Ellen Kenworthy Emergency Medicine 50 North Perry Street, Pontiac, MI 48342 2011-07-08
1417092602 Kirk R Whyte Emergency Medicine 130 Seminole St, Pontiac, MI 48341-1673 2007-02-21
1255449393 John Rinker Emergency Medicine 1515 W Reynolds St, Pontiac, IL 61764-9673 2006-08-28
1508889908 Kenneth Velez Emergency Medicine 1306 N Ann St, Pontiac, IL 61764-1235 2006-07-26
1952378309 Rajendra Shrivastav Emergency Medicine 1512 W Reynolds St, Ste. B, Pontiac, IL 61764-9781 2006-03-03
1003890856 Matthew Swayze Emergency Medicine 50 N Perry St, Pontiac, MI 48342-2217 2005-12-05
1366936031 Viktorija Petrovic Emergency Medicine 50 N Perry St, Pontiac, MI 48342-2217 2018-06-18
1215421904 Robert Schulz Emergency Medicine 50 N Perry St, Pontiac, MI 48342-2217 2018-06-18
1174017958 Andrew Mirocke Emergency Medicine 50 N Perry St, Pontiac, MI 48342-2217 2018-06-15
1265926018 Duncan Mcguire Emergency Medicine 50 N Perry St, Pontiac, MI 48342-2217 2018-06-15
Find all providers in PONTIAC

Competitor

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City PONTIAC
Zip Code 48342

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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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