Kevin Berg (NPI# 1396749792, PAC ID# 9133243124) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1396749792 |
| PAC ID by PECOS | 9133243124 |
| Professional Enrollment ID | I20100827000205 |
| Full Name | Kevin Berg |
| Organization Legal Name | POUDRE VALLEY MEDICAL GROUP LLC |
| Address |
11820 Destination Dr Broomfield CO 80021-2518 |
| Phone Number | 7208480000 |
| Gender | M |
| Medical School | MAYO MEDICAL SCHOOL |
| Graduation Year | 1979 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 9638208549 |
| Number of Group Practice Members | 1070 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060128 | LONGS PEAK HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 11820 Destination Dr, Broomfield, CO 80021-2518 | 7208480000 | POUDRE VALLEY MEDICAL GROUP LLC |
| 8890 N Union Blvd, Colorado Springs, CO 80920-2701 | POUDRE VALLEY MEDICAL GROUP LLC | |
| 1750 E Ken Pratt Blvd, Uchealth, Longmont, CO 80504-5311 | 9702377848 | POUDRE VALLEY MEDICAL GROUP LLC |
| 1750 E Ken Pratt Blvd Fl, 3 Uchealth Pulmonology Clinic Longm, Longmont, CO 80504-5311 | 7207183900 | POUDRE VALLEY MEDICAL GROUP LLC |
| 1925 Mountain View Ave, Longmont, CO 80501-3128 | 3037761234 | POUDRE VALLEY MEDICAL GROUP LLC |
| 1925 Mountain View Ave, Fl 3, Longmont, CO 80501-3128 | 7204943123 | POUDRE VALLEY MEDICAL GROUP LLC |
| Organization Legal Name | POUDRE VALLEY MEDICAL GROUP LLC |
| Physicians | 1041 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Henry Monkowski | Infectious Disease | Poudre Valley Medical Group LLC | 1625 Foxtrail Dr, Suite 200, Loveland, CO 80538-9089 |
| Nataliia A Baker | Family Medicine | Poudre Valley Medical Group LLC | 1455 Main St, Suite 100, Windsor, CO 80550-5559 |
| Stephanie Pivik Mager | Obstetrics/gynecology | Poudre Valley Medical Group LLC | 1715 61st Ave, Greeley, CO 80634-7989 |
| Kerri Alicia Madden | Physician Assistant | Poudre Valley Medical Group LLC | 4404 Barranca Ln, Unit 101, Castle Rock, CO 80104-7432 |
| Alicia Vandersluis | Obstetrics/gynecology | Poudre Valley Medical Group LLC | 6705 Rangewood Dr, Colorado Springs, CO 80918-7300 |
| Megan Leigh Kelly | Clinical Social Worker | Poudre Valley Medical Group LLC | 11820 Destination Dr, Broomfield, CO 80021-2518 |
| Mark Oscar Robinson | Family Medicine | Poudre Valley Medical Group LLC | 15854 Jackson Creek Pkwy, Unit 120, Monument, CO 80132-8663 |
| Kimberly Atiyeh | Otolaryngology | Poudre Valley Medical Group LLC | 16222 W Us Hwy 24 210, Uchmg Woodland Park Outreach, Woodland Park, CO 80863-8763 |
| Adam Lee Kilkenney | Family Medicine | Poudre Valley Medical Group LLC | 5265 N Academy Blvd, Suite 1800, Colorado Springs, CO 80918-4061 |
| Marlesa Renee Moore | Obstetrics/gynecology | Poudre Valley Medical Group LLC | 1015 E Pikes Peak Ave, Suite 100, Colorado Springs, CO 80903-5700 |
| Street Address |
11820 DESTINATION DR |
| City | BROOMFIELD |
| State | CO |
| Zip | 80021-2518 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan Leigh Kelly | Clinical Social Worker | Poudre Valley Medical Group LLC | 11820 Destination Dr, Broomfield, CO 80021-2518 |
| Maxine Leota Banecks | Clinical Social Worker | Poudre Valley Medical Group LLC | 11820 Destination Dr, Broomfield, CO 80021-2518 |
| Christine R Riguzzi | Emergency Medicine | Poudre Valley Medical Group LLC | 11820 Destination Dr, Broomfield, CO 80021-2518 |
| Etienne N Janco | Clinical Social Worker | Poudre Valley Medical Group LLC | 11820 Destination Dr, Broomfield, CO 80021-2518 |
| Jody L Gottesman | Clinical Social Worker | Poudre Valley Medical Group LLC | 11820 Destination Dr, Broomfield, CO 80021-2518 |
| Maria Lynn Martin | Clinical Social Worker | Poudre Valley Medical Group LLC | 11820 Destination Dr, Broomfield, CO 80021-2518 |
| Lisa Evensky-stark | Clinical Social Worker | Poudre Valley Medical Group LLC | 11820 Destination Dr, Broomfield, CO 80021-2518 |
| Kelly E Gahan | Emergency Medicine | Poudre Valley Medical Group LLC | 11820 Destination Dr, Broomfield, CO 80021-2518 |
| Stephanie M Burke | Clinical Social Worker | Poudre Valley Medical Group LLC | 11820 Destination Dr, Broomfield, CO 80021-2518 |
| Adina Rosen | Clinical Social Worker | Poudre Valley Medical Group LLC | 11820 Destination Dr, Broomfield, CO 80021-2518 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah E Morgan | Clinical Social Worker | Poudre Valley Medical Group LLC | 11820 Destination Dr, Broomfield, CO 80021-2518 |
| Edward J Klich | Clinical Social Worker | Poudre Valley Medical Group LLC | 11820 Destination Dr, Broomfield, CO 80021-2518 |
| Dana M Doty | Clinical Social Worker | Poudre Valley Medical Group LLC | 11820 Destination Dr, Broomfield, CO 80021-2518 |
| Kelly P Eichhorn | Emergency Medicine | Poudre Valley Medical Group LLC | 11820 Destination Dr, Broomfield, CO 80021-2518 |
| Staceyeileen Shannon Sinclare | Clinical Social Worker | Poudre Valley Medical Group LLC | 11820 Destination Dr, Broomfield, CO 80021-2518 |
| Carol C Dombro | Emergency Medicine | Poudre Valley Medical Group LLC | 11820 Destination Dr, Broomfield, CO 80021-2518 |
| Julie Petersen-hanson | Physical Therapy | Bodywise Physical Therapy Professional LLC | 10055 Westmoor Drive, Suite 210, Westminster, CO 80021-2576 |
| Valerie D Sims | Psychologist, Clinical | Rocky Mountain Behavioral Medicine LLC | 11705 Airport Way, Suite 301, Broomfield, CO 80021-2711 |
| Kendra Sherwood | Psychologist, Clinical | Rocky Mountain Behavioral Medicine LLC | 11705 Airport Way, Suite 301, Broomfield, CO 80021-2711 |
| Andrea C Devita | Clinical Social Worker | 12886 W Montane Circle, Broomfield, CO 80021-2815 | |
| Find all physicians in zip 80021 | |||
| City | BROOMFIELD |
| Zip Code | 80021 |
| Specialty | GENERAL SURGERY |
| City + Specialty | BROOMFIELD + GENERAL SURGERY |
Please comment or provide details below to improve the information on Kevin Berg.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.