MR. PHILLIP C BERG (NPI# 1003955675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003955675 |
| Entity Type | Individual |
| Full Name | MR. PHILLIP C BERG |
| Practice Address |
8501 Tanner Williams Rd Mobile AL 36608-8322 |
| Practice Telephone | 2514416725 |
| Mailing Telephone | 2514416725 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171000000X | Military Health Care Provider | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831374446 | Phillip William Berg | Chiropractor | 11468 Marketplace Dr N, Suite 500, Champlin, MN 55316-3872 | 2008-01-02 |
| Street Address |
8501 TANNER WILLIAMS RD |
| City | MOBILE |
| State | AL |
| Zip Code | 36608-8322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760467120 | Juan Esteban Palacio | Family Medicine | 8501 Tanner Williams Rd, Mobile, AL 36608-8322 | 2005-12-08 |
| 1447664628 | Jared Ross Rispens | Internal Medicine | 8501 Tanner Williams Rd, Mobile, AL 36608-8322 | 2014-06-16 |
| 1578995353 | Michael Ryan Ennis | Technician, Other | 8501 Tanner Williams Rd, Mobile, AL 36608-8322 | 2013-08-05 |
| 1033541156 | Us Coast Guard | Clinic/Center | 8501 Tanner Williams Rd, Mobile, AL 36608-8322 | 2013-07-31 |
| 1164854204 | Sigmund Frederick Basilio | Technician, Other | 8501 Tanner Williams Rd, Mobile, AL 36608-8322 | 2013-07-31 |
| 1437581568 | Allie Helmly | Specialist/Technologist, Other | 8501 Tanner Williams Rd, Mobile, AL 36608-8322 | 2013-07-31 |
| 1275803330 | Phyllis Evans | Registered Nurse | 8501 Tanner Williams Rd, Us Coast Guard Atc Mobile/hswl, Mobile, AL 36608-8322 | 2012-01-06 |
| 1447551148 | Heather Jean Ivey | Technician, Other | 8501 Tanner Williams Rd, Mobile, AL 36608-8322 | 2010-11-11 |
| 1447563101 | Rebecca Ann Holmes | Dental Hygienist | 8501 Tanner Williams Rd, Mobile, AL 36608-8322 | 2010-07-22 |
| 1578897930 | Leslie Nan Segler | Dental Assistant | 8501 Tanner Williams Rd, Mobile, AL 36608-8322 | 2009-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475524 | Grantham Dental, Inc. | Dentist | 3620 Springhill Memorial Drive South, Mobile, AL 36608 | 2020-10-21 |
| 1114540879 | Dearrius Hines | Home Health Aide | 1370 Lucerne Dr, Mobile, AL 36608 | 2020-05-28 |
| 1558980409 | Rachel Stevens | Registered Nurse | 8507 Tanner Williams Rd, Mobile, AL 36608 | 2020-04-10 |
| 1073170700 | Usa Health Physician Billing Services LLC | Otolaryngology | 5721 Usa Drive North, Hahn 1119, Mobile, AL 36608 | 2019-05-29 |
| 1952885600 | Franklin Primary Health Center Inc. | Dentist | 990 Cody Rd North, Mobile, AL 36608 | 2018-09-19 |
| 1114410040 | Zackary Elkins | Optometrist | 105 W I65 Service Rd N, Mobile, AL 36608 | 2018-06-14 |
| 1023562865 | Covenant Hospice, Inc. | Internal Medicine | 6801 Airport Blvd., Main Tower, 11th Floor North, Mobile, AL 36608 | 2016-08-10 |
| 1730575416 | Rayven Likely | Student in an Organized Health Care Education/Training Program | 1014 Centerwood Dr, Mobile, AL 36608 | 2015-04-09 |
| 1598040461 | Robert S Harlin | Specialist | 75 Clarise Circle, Mobile, AL 36608 | 2011-10-11 |
| 1972884948 | Heidi Michelle Mcdermott | Physical Therapist | 5721 Usa Drive N, Hahn 2050, Mobile, AL 36608 | 2011-09-06 |
| Find all providers in zip 36608 | ||||
| Taxonomy Code | 171000000X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
| Notes: [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033360565 | Tejay Wayne Barton | Military Health Care Provider | 101 South Broad St., Mobile, AL 36615 | 2008-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639785546 | Professional Edge Nursing, Inc | Military Health Care Provider | 600 Mary Lane, Anniston, AL 36207 | 2020-09-17 |
| 1104432152 | Christopher Allen Jones | Military Health Care Provider | 14019 Firehouse Rd, Northport, AL 35475-3408 | 2020-09-16 |
| 1225265788 | Patricia Lynne Walters | Military Health Care Provider | Us Army Aeromedical Research Laboratory, Fort Rucker, Enterprise, AL 36362-0577 | 2009-06-11 |
| 1306005087 | Sundra Renee Johnson | Military Health Care Provider | 1414 26th St, 1414 26th Street, Tuscaloosa, AL 35401-6642 | 2008-06-06 |
| 1992981922 | Doris Lou Hill | Military Health Care Provider | 1633 Academy Dr, #1405, Auburn, AL 36830-1893 | 2008-01-22 |
| 1497848063 | Douglass Vance | Military Health Care Provider | 264 Belle Dr, Scottsboro, AL 35769-3652 | 2006-10-02 |
| 1144294042 | Michael Bernard Madkins | Military Health Care Provider | 4100 Goss Road, Primary Care Clinic Fox Army Health Center, Redstone Arsenal, AL 35809-7000 | 2006-02-15 |
| 1114292885 | Britiney Ann Cawthron | Military Health Care Provider | 301 Andrews Ave, Fort Rucker, AL 36362-0000 | 2012-03-14 |
| 1649431537 | Kristopher Charles Wilson | Military Health Care Provider | 301 Andrews Avenue, Fort Rucker, AL 36362-5333 | 2008-06-23 |
| 1710171673 | Grace Marie Lidl | Military Health Care Provider | 301 Andrews Ave., Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 | 2007-09-04 |
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| 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.