EVAN R BERG


Address: 1 Boston Medical Ctr Pl, Dowling 1 South, Boston, MA 02118-2908
Phone: 6174145481

EVAN R BERG (NPI# 1982692596) 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) 1982692596
Entity Type Individual
Full Name EVAN R BERG
Credential MD
Practice Address 1 Boston Medical Ctr Pl
Dowling 1 South
Boston
MA 02118-2908
Mailing Address 720 Harrison Ave
Dob 503
Boston
MA 02118-2371
Practice Telephone 6174145481
Practice Fax Number 6174147759
Enumeration Date 2005-10-07
Last Update Date 2015-05-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207P00000X Emergency Medicine 232041 NY Allopathic & Osteopathic Physicians
Y 207P00000X Emergency Medicine 215357 MA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MA BCBS J40162 01
MA 110007139A 05
MA TUFTS 494928 01

Other Providers EVAN BERG

NPI Name Taxonomy Address Enumeration
1811425226 Evan Berg Emergency Medicine 50 N Perry St, Pontiac, MI 48342-2217 2017-05-30
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

Office Location

Street Address 1 BOSTON MEDICAL CTR PL
DOWLING 1 SOUTH
City BOSTON
State MA
Zip Code 02118-2908

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235138918 Joy Vreeland Pharmacist 1 Boston Medical Ctr Pl, Dept of Pharmacy - Atrium 2, Boston, MA 02118-2908 2005-07-15
1336755230 Abigail Martin Student in an Organized Health Care Education/Training Program 1 Boston Medical Ctr Pl, Boston, MA 02118-2908 2020-09-17
1447865894 Caitlin Clark Social Worker 1 Boston Medical Ctr Pl, Boston, MA 02118-2908 2020-09-12
1841805710 Julia Dobner-pereira Psychologist 1 Boston Medical Ctr Pl, Boston, MA 02118-2908 2020-09-09
1184241325 Meissane Benbrahim Pharmacist 1 Boston Medical Ctr Pl, Boston, MA 02118-2908 2020-07-04
1801410345 Heping Sheng Student in an Organized Health Care Education/Training Program 1 Boston Medical Ctr Pl, Boston, MA 02118-2908 2020-06-01
1013531789 Jillian Hamlin Physician Assistant 1 Boston Medical Ctr Pl, Boston, MA 02118-2908 2020-05-29
1730701921 Michele Elaine Chan Student in an Organized Health Care Education/Training Program 1 Boston Medical Ctr Pl, Boston, MA 02118-2908 2020-05-11
1144849431 Meagan Hickey Counselor 1 Boston Medical Ctr Pl, Boston, MA 02118-2908 2020-04-16
1922636109 Tanesha S Beckford Student in an Organized Health Care Education/Training Program 1 Boston Medical Ctr Pl, Boston, MA 02118-2908 2020-04-01
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649870023 Carlos E Salazar Counselor Hcrc 23 Bradston St., Boston, MA 02118 2020-10-27
1780292607 Jinal Gandhi Student in an Organized Health Care Education/Training Program Shapiro Primary Care, 725 Albany Street, Boston, MA 02118 2020-07-16
1669094777 German Eduardo Velez Student in an Organized Health Care Education/Training Program One Boston Medical Center Place Boston Medical Center, Boston, MA 02118 2020-05-12
1255969895 Isabela Medeiros Heringer Pereira Student in an Organized Health Care Education/Training Program 670 Albany Stree, 4th Floor, Boston, MA 02118 2020-03-30
1033746466 Karan Sunil Hingorani Student in an Organized Health Care Education/Training Program Shapiro Primary Care, 725 Albany Street, Precepting Room, Boston, MA 02118 2020-03-25
1326672791 Azza Ahmed Dentist 635 Albany St. G-744, Boston, MA 02118 2020-02-25
1538707401 Jane Margolis Social Worker 840 Harrison Ave., Dowling 2 South, Boston, MA 02118 2019-12-11
1871134833 Supontep Teerakanok Dentist Henry Goldman School of Dental Medicine, 635 Albany St, Boston, MA 02118 2019-10-01
1750939583 Qasim Silman Ajmi Orthopaedic Surgery Department of Orthopaedic Surgery Boston Medical Center, 850 Harrison Ave Dowling 2 North, Boston, MA 02118 2019-08-26
1922655539 Jami Ryan Pollard Physician Assistant 840 Harrison Avenue, Menino Building, Boston, MA 02118 2019-08-20
Find all providers in zip 02118

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
1366947954 Karrin Weisenthal Emergency Medicine 1 Boston Pl Rm 1322, Boston, MA 02108 2018-03-27
1942705884 Jillian Britt Duffy Emergency Medicine 1 Boston Medical Ctr Pl Rm 1322, Boston, MA 02118 2018-03-23
1245760024 Nicholas D. Kurtzman Emergency Medicine One Deaconess Road Rosenberg Building, 2nd Floor, Department of Emergency Medicine, Boston, MA 02215 2017-06-14
1942730007 Alec John Koffer Emergency Medicine 1 Deaconess Rd Bldg 2nd, Boston, MA 02215-5321 2017-06-12
1609257609 Andrew Dean Alex Marshall Emergency Medicine 1 Deaconess Rd Fl 2, Boston, MA 02215-5321 2015-06-16
1124414446 Alister Martin Emergency Medicine 75 Francis St # At, Boston, MA 02115-6110 2015-04-14
1699188524 Vijay Christopher Kannan Emergency Medicine 1 Deaconess Road W/cc2, Boston, MA 02215 2014-06-09
1659798809 Jonathan Van Ornam Emergency Medicine 75 Francis St # 236a, Boston, MA 02115-6110 2014-03-26
1871938597 Christine Lee Emergency Medicine Department of Emergency Medicine, Beth Israel Deaconess, One Deaconess Road, Rosenberg Building 2, Boston, MA 02215-5321 2013-05-08
1497098149 Andrew Perechocky Emergency Medicine 1 Boston Medical Center Place, Dowling 1 South Rm 1322, Boston Medical Center, Dept. of Emergency Medicine, Boston, MA 02118 2013-04-01
Find all providers in BOSTON

Competitor

Search similar providers

City BOSTON
Zip Code 02118

Improve Information

Please comment or provide details below to improve the information on EVAN R BERG.

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.

Trending Searches