DR. JONATHAN S BERG II (NPI# 1912093147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912093147 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN S BERG II |
| Credential | D.C. |
| Practice Address |
4102 Pinion Dr, 10mdg Asaf Academy CO 80840-2502 |
| Mailing Address |
4102 Pinion Drive, 10mdg Asaf Academy CO 80840-2502 |
| Practice Telephone | 7193333107 |
| Practice Fax Number | 9784770213 |
| Mailing Telephone | 7193333107 |
| Mailing Fax Number | 9784770213 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2011-03-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH1766 | MA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 1609998 | 05 | |
| MA | BLUE CROSS / BLUE SHIELD | BEY36332 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881892859 | Jonathan Sanford Berg | Internal Medicine | 5092 Genetics Medicine Building, Unc - Chapel Hill, Cb # 7264, Chapel Hill, NC 27599-7264 | 2007-07-11 |
| 1679959936 | Jonathan Peter Berg | Mechanotherapist | 5010 Ne 33rd Ave, Portland, OR 97211-6946 | 2015-08-09 |
| 1376793976 | Jonathan Ian Berg | Internal Medicine | 2 Crosfield Avenue, Suite 318, West Nyack, NY 10994 | 2008-09-19 |
| 1447244371 | Jonathan Benjamin Berg | Family Medicine | 100 Park St, Glens Falls, NY 12801-4413 | 2005-09-07 |
| Street Address |
4102 PINION DR, 10MDG |
| City | ASAF ACADEMY |
| State | CO |
| Zip Code | 80840-2502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114554011 | Christina Dang | Student in an Organized Health Care Education/Training Program | 4355-b Faculty Drive, Us Air Force Academy, CO 80840 | 2020-03-23 |
| 1053893123 | Glen William Myers | Dentist | 2355-b Faculty Dr, Usaf Academy, Colorado, Usafa, AA 80840 | 2018-09-05 |
| 1225374499 | National Vision Optical | Technician/Technologist | Bldg 5136, Community Center Dr., Us Air Force Academy, CO 80840 | 2012-12-17 |
| 1366758906 | Brett Michael Germain | Dentist | 2355-b Faculty Dr., Usaf Academy, CO 80840 | 2010-08-20 |
| 1518289115 | Renee Jean Cole | Military Health Care Provider | 4515 East Juniper Dr Unit A, Usaf Academy, CO 80840 | 2010-02-23 |
| 1063655140 | Gregory S. Brooks | Military Health Care Provider | 2355 Faculty Dr Suite 1n207, 10th Amds, Usafa, CO 80840 | 2009-04-20 |
| 1801092390 | Bryant Mcneill | Internal Medicine | 4102 Pinion 10mdg, Usaf Academy, CO 80840 | 2007-06-22 |
| 1447384383 | Francis Crosby Jr. | Physician Assistant | 4102 Pinon Drive, Usaf Academy, CO 80840 | 2007-03-15 |
| 1023115870 | Evans Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Bldg 5136 Eagle Dr, Ste 102, Usaf Academy, CO 80840 | 2006-09-20 |
| 1669582722 | Scott Layle Carbaugh | Physician Assistant | 4102 Pinion Dirve, Usaf Academy, CO 80840 | 2006-08-30 |
| Find all providers in zip 80840 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841890704 | Bekah Peterson | Chiropractor | 1550 Main St Unit 112, Windsor, CO 80550-7916 | 2020-10-29 |
| 1548860836 | Kirton Chiropractic LLC | Chiropractor | 6841 W Asbury Pl, Lakewood, CO 80227-2690 | 2020-10-27 |
| 1427657881 | Robert Spackman | Chiropractor | 1485 Garden of The Gods Rd Ste 156, Colorado Springs, CO 80907-3306 | 2020-10-18 |
| 1588271167 | Nichole Geary | Chiropractor | 2355 N Lafayette St Apt 1, Denver, CO 80205-5381 | 2020-09-28 |
| 1548875586 | Ao Colorado Pllc | Chiropractor | 103 Fourth Street, Suite 330, Castle Rock, CO 80104-2449 | 2020-09-15 |
| 1710592779 | Ao Colorado Pllc | Chiropractor | 6901 S. Yosemite Street, Suite 102, Centennial, CO 80112-1413 | 2020-09-15 |
| 1932713351 | Jeffrey Lee Houston | Chiropractor | 1519 Park Central Dr, Highlands Ranch, CO 80129-2759 | 2020-09-02 |
| 1851904023 | 100 Chiro Peterson Three LLC | Chiropractor | 5714 W 89th Ave, Westminster, CO 80031 | 2020-08-28 |
| 1811508369 | Haak Chiropractic LLC | Chiropractor | 6666 Gunpark Dr Ste 100, Boulder, CO 80301-3396 | 2020-08-10 |
| 1992315915 | Andrew Phelan Dc PC | Chiropractor | 6169 S Balsam Way Ste 310, Littleton, CO 80123-3064 | 2020-08-04 |
| Find all providers with the same taxonomy | ||||
| City | ASAF ACADEMY |
| Zip Code | 80840 |
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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.