Active NPIIndividual provider

Mrs. Colleen M Berg, NP

Nurse Practitioner in Wareham, Massachusetts

NPI Number1477628527
Practice location
100 Rosebrook Way, Southcoast Physician Services, INC. 3RD Floor, Wareham, MA 02571-2097
Fax
508-273-4901
Last updated
June 16, 2011

Colleen Marie Berg is a Nurse Practitioner based in Wareham, MA. Colleen Marie Berg practices in Wareham, MA and has the professional credentials of NP. The NPI Number for Colleen Marie Berg is 1477628527 and holds a License No. 142625 (MA). The current practice location address for Colleen Marie Berg is 100 Rosebrook Way, Southcoast Physician Services, INC. 3RD Floor, Wareham, MA 02571-2097 and can be reached out via phone at 508-273-4900 and via fax at 508-273-4901.

Provider Profile Details

NPI Number
1477628527
Provider Name
Colleen Marie Berg
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
100 Rosebrook Way, Southcoast Physician Services, INC. 3RD Floor, Wareham, MA 02571-2097
Phone Number
508-273-4900
Fax Number
508-273-4901
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
No
Provider Enumeration Date
November 22, 2006
Last Update Date
June 16, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 Rosebrook Way
Southcoast Physician Services, INC. 3RD Floor
Wareham, MA 02571-2097
Zip
02571-2097
Phone Number
508-273-4900
Fax Number
508-273-4901
Wareham, MA 02571Get directions →

Provider Business Mailing Address Details

Address
370 Faunce Corner Road
Southcoast Physician Services, INC.
North Dartmouth, MA 02747-1271
City
North Dartmouth
State
MA
Zip
02747-1271
Phone Number
508-985-2000
Fax Number
508-985-2001

License Information

License Number (1)
142625
License State (1)
MA
Taxonomy (1)
Nurse Practitioner · 363L00000X
License Number (2)
142625
License State (2)
MA
Taxonomy (2)
Nurse Practitioner, Pediatrics · 363LP0200X
License Number (3)
RN142625
License State (3)
MA
Taxonomy (3)
Nurse Practitioner · 363L00000X · 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 Mrs. Colleen M Berg, NP?

The NPI number of Mrs. Colleen M Berg, NP is 1477628527. It was assigned on November 22, 2006 and is currently active in the NPPES registry.

What is the specialty of Mrs. Colleen M Berg, NP?

Mrs. Colleen M Berg, NP is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in MA under license number 142625.

Where does Mrs. Colleen M Berg, NP practice?

The practice location is 100 Rosebrook Way, Southcoast Physician Services, INC. 3RD Floor, Wareham, MA 02571-2097. The office can be reached at 508-273-4900 (phone) or 508-273-4901 (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 1477628527 directly on the NPPES registry website.

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