DR. BONNIE L BERG (NPI# 1992818272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992818272 |
| Entity Type | Individual |
| Full Name | DR. BONNIE L BERG |
| Credential | D.C. |
| Practice Address |
314 Main St Medford MA 02155-6160 |
| Practice Telephone | 7813961070 |
| Practice Fax Number | 7813966607 |
| Mailing Telephone | 7813961070 |
| Mailing Fax Number | 7813966607 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1118 | MA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | HARVARD/PILGRAM NUMBER | 351243 | 01 |
| MA | AETNA NUMBER | 4130676 | 01 |
| MA | TUFTS NUMBER | 713630 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932750932 | Bonnie B Berg | Speech-Language Pathologist | 317 Clinical Sciences Building Bldg, Mankato, MN 56001-2690 | 2019-09-23 |
| 1407202559 | Bonnie Berg | Counselor | 290 Willamette St, Umatilla, OR 97882-6601 | 2016-05-08 |
| 1760505424 | Bonnie Lee Berg | Occupational Therapy Assistant | 261 Connecticut Dr Ste 5, Burlington, NJ 08016-4177 | 2007-04-09 |
| 1366518813 | Bonnie Jan Berg | Social Worker | 1020 Sw Taylor St, Suite 650, Portland, OR 97205-2543 | 2006-11-27 |
| Street Address |
314 MAIN ST |
| City | MEDFORD |
| State | MA |
| Zip Code | 02155-6160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093836074 | Medford Chiropractic Center | Chiropractor | 314 Main St, Medford, MA 02155-6160 | 2007-04-03 |
| 1801972278 | Diane Louise Sofia | Chiropractor | 314 Main St, Medford, MA 02155-6160 | 2006-10-28 |
| 1396858734 | Andrew L Keehn | Chiropractor | 314 Main St, Medford, MA 02155-6160 | 2006-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679113922 | Elena Chapman | Nurse Practitioner | 293 Salem St 4, Medford, MA 02155 | 2020-01-14 |
| 1922658830 | Michelle Anne Zona | Counselor | 100 George Hassett Dr, Medford, MA 02155 | 2019-09-13 |
| 1487138509 | Dava Davainis | Social Worker | 76 Newbern Avenue, Apt. 1, Medford, MA 02155 | 2018-09-25 |
| 1265915128 | Erin Roberts | Counselor | Medford Public Schools, 3002 Mystic Valley Pkwy, Medford, MA 02155 | 2018-09-07 |
| 1871075739 | Janice Madeline Cole | Social Worker | 3820 Mystic Valley Pkwy Unit 805, Medford, MA 02155 | 2018-09-06 |
| 1447732573 | Mystick Women's Health, Inc. | Obstetrics & Gynecology | 13 Bradlee Road, Medford, MA 02155 | 2018-09-05 |
| 1144713090 | Laura Rogers | Psychologist | 203 Paige Hall, 12 Upper Campus Road, Medford, MA 02155 | 2018-06-14 |
| 1871086694 | Shuo Yang | Dentist | 8 9th St Apt 310, Medford, MA 02155 | 2018-06-07 |
| 1891287108 | Xuhua Qin | Psychologist | 120 Curtis Street, Medford, MA 02155 | 2018-06-01 |
| 1568953529 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 471 Salem St, Medford, MA 02155 | 2018-05-25 |
| Find all providers in zip 02155 | ||||
| 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 |
|---|---|---|---|---|
| 1033620687 | Steve Issac Santoni | Chiropractor | 4149 S Pacific Hwy Ste 434, Medford, OR 97501-9104 | 2017-10-22 |
| 1568984714 | Trisha Anne Sileo | Chiropractor | 99 Taunton Rd # 101, Medford, NJ 08055-9362 | 2017-07-10 |
| 1366824450 | Johann L. Towne | Chiropractor | 945 Town Centre Dr Ste C, Medford, OR 97504-6190 | 2015-06-24 |
| 1073934204 | Degre Chiropractic LLC | Chiropractor | 92 High St Ste Dh32, Medford, MA 02155-3843 | 2013-12-13 |
| 1023445327 | Corey O'neill | Chiropractor | 943 Automation Way, A1, Medford, OR 97504-4192 | 2013-10-01 |
| 1376888941 | Mlm Chiropractic, LLC | Chiropractor | 133-b Jackson Rd, Medford, NJ 08055 | 2012-12-07 |
| 1912241092 | 495 Chiropractic, PC | Chiropractor | 570 Expressway Dr S, Suite 2c, Medford, NY 11763-2049 | 2012-11-15 |
| 1003188509 | Samuel Robert Klinner | Chiropractor | 115 E Perkins St, Medford, WI 54451-1852 | 2012-01-31 |
| 1285869040 | Mc Chiropractic | Chiropractor | 1550 Biddle Rd, Ste. D, Medford, OR 97504-4691 | 2009-05-22 |
| 1992981450 | Anthony Francis Micucci | Chiropractor | 170 Kettles Ln, Medford, NY 11763-1552 | 2008-01-15 |
| Find all providers in MEDFORD | ||||
Please comment or provide details below to improve the information on DR. BONNIE L BERG.
| 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.