Active NPIIndividual provider

Dr. Jonathan B Berg, DO

Family Medicine in Glens Falls, New York

NPI Number1447244371
Practice location
100 Park St, Glens Falls, NY 12801-4413
Fax
518-792-8231
Last updated
May 11, 2024

Jonathan Benjamin Berg is a Family Medicine based in Glens Falls, NY. Jonathan Benjamin Berg practices in Glens Falls, NY and has the professional credentials of DO. The NPI Number for Jonathan Benjamin Berg is 1447244371 and holds a License No. 228061-1 (NY). The current practice location address for Jonathan Benjamin Berg is 100 Park St, Glens Falls, NY 12801-4413 and can be reached out via phone at 518-761-0300 and via fax at 518-792-8231.

Provider Profile Details

NPI Number
1447244371
Provider Name
Jonathan Benjamin Berg
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
100 Park St, Glens Falls, NY 12801-4413
Phone Number
518-761-0300
Fax Number
518-792-8231
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
September 7, 2005
Last Update Date
May 11, 2024
Certification Date
May 11, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 Park St
Glens Falls, NY 12801-4413
Zip
12801-4413
Phone Number
518-761-0300
Fax Number
518-792-8231
Glens Falls, NY 12801Get directions →

Provider Business Mailing Address Details

Address
9 Carey RD
Queensbury, NY 12804-7880
City
Queensbury
State
NY
Zip
12804-7880
Phone Number
518-761-0300
Fax Number
518-480-0108

License Information

License Number
228061-1
License State
NY
Taxonomy
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Jonathan B Berg, DO?

The NPI number of Dr. Jonathan B Berg, DO is 1447244371. It was assigned on September 7, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Jonathan B Berg, DO?

Dr. Jonathan B Berg, DO is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NY under license number 228061-1.

Where does Dr. Jonathan B Berg, DO practice?

The practice location is 100 Park St, Glens Falls, NY 12801-4413. The office can be reached at 518-761-0300 (phone) or 518-792-8231 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1447244371 directly on the NPPES registry website.

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