DR. MARK A BERG (NPI# 1245221647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245221647 |
| Entity Type | Individual |
| Full Name | DR. MARK A BERG |
| Credential | MD |
| Practice Address |
1400 1st St Ne New Prague MN 56071-2215 |
| Mailing Address |
580 Rice St Saint Paul MN 55103-2148 |
| Practice Telephone | 9527582535 |
| Practice Fax Number | 9525486160 |
| Mailing Telephone | 6512276551 |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2016-08-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 38780 | MN | Allopathic & Osteopathic Physicians |
| N | 207QA0000X |
Family Medicine Specialization: Adolescent Medicine |
38780 | MN | Allopathic & Osteopathic Physicians |
| N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
38780 | MN | Allopathic & Osteopathic Physicians |
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
38780 | MN | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 38780 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 979826900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780797118 | Mark S Berg | Dentist | 213 Hempstead Ave, Lynbrook, NY 11563-1607 | 2006-08-17 |
| 1891090676 | Mark Steven Berg | Counselor | 401 W Texas Ave, Baytown, TX 77520-4751 | 2011-01-25 |
| 1972624617 | Mark Leno Berg | Emergency Medicine | 3300 Oakdale Ave N, North Memorial Medical Center, Robbinsdale, MN 55422-2926 | 2007-04-02 |
| 1134217318 | Mark S Berg | Dentist | 443 N New Ballas Rd, Ste 244, St Louis, MO 63141 | 2006-10-11 |
| Street Address |
1400 1ST ST NE |
| City | NEW PRAGUE |
| State | MN |
| Zip Code | 56071-2215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801887609 | Carl Everett Burkland | Family Medicine | 1400 1st St Ne, New Prague, MN 56071-2215 | 2005-10-31 |
| 1548601560 | Soniya Hirachan | Psychiatry & Neurology | 1400 1st St Ne, New Prague, MN 56071-2215 | 2013-07-08 |
| 1518124239 | Heather Hamernick | Family Medicine | 1400 1st St Ne, New Prague, MN 56071-2215 | 2008-05-20 |
| 1922109057 | Andrew William Larson | Physical Therapist | 1400 1st St Ne, New Prague, MN 56071-2215 | 2006-09-25 |
| 1699875757 | Paul Arthur Berg Jr. | Physical Therapist | 1400 1st St Ne, New Prague, MN 56071-2215 | 2006-09-25 |
| 1932209020 | Optimal Sports Physical Therapy,llc | Physical Therapist | 1400 1st St Ne, New Prague, MN 56071-2215 | 2006-09-25 |
| 1841212677 | Jean E Craig | Family Medicine | 1400 1st St Ne, New Prague, MN 56071-2215 | 2006-07-24 |
| 1922071125 | John H Berg Md Carl E Burkland Md | Family Medicine | 1400 1st St Ne, New Prague, MN 56071-2215 | 2006-02-08 |
| 1659362069 | Daniel R Berg | Family Medicine | 1400 1st St Ne, New Prague, MN 56071-2215 | 2005-11-03 |
| 1447241799 | Michael Patrick O'rourke | Family Medicine | 1400 1st St Ne, New Prague, MN 56071-2215 | 2005-11-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154827087 | Jeremy Faus | Marriage & Family Therapist | 1405 East Main Street, Suite 2, New Prague, MN 56071 | 2018-03-31 |
| 1740537331 | Omega Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 125 West Main St, New Prague, MN 56071 | 2012-08-14 |
| 1811143936 | New Prague Dental Center | Dentist | 101 Lexington Ave S., New Prague, MN 56071 | 2008-08-08 |
| 1013083039 | Sharon L Bortscheller | Social Worker | 101 Lexington Ave South, New Prague, MN 56071 | 2006-11-28 |
| 1811082225 | Gregory Raymond Dvorak | Dentist | 136 W. Main St, New Prague, MN 56071 | 2006-10-03 |
| 1285728352 | Joel Gary Erickson | Chiropractor | 314 Main St E Suite 2, New Prague, MN 56071 | 2006-10-03 |
| 1124035282 | Mayo Clinic Health System-southwest Minnesota Region | General Acute Care Hospital | 301 2nd Street Ne, New Prague, MN 56071 | 2006-08-02 |
| 1780641209 | Jun Hong Liang | Family Medicine | 212 County Road 37, New Prague, MN 56071 | 2006-04-27 |
| 1275195737 | Mosaic Family Services, Ltd. | Counselor | 1405 East Main Street, New Prague, MN 56071 | 2019-07-05 |
| 1225396492 | Mary F Taylor | Dietitian, Registered | 301 2nd St Ne, New Prague, MN 56071 | 2012-04-25 |
| Find all providers in zip 56071 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952339426 | Troy D Hanson | Family Medicine | 905 Philipp Pkwy, New Prague, MN 56071-2046 | 2006-06-30 |
| 1942245881 | Sage Weight and Wellness Pa | Family Medicine | 210 Main St W, Suite 130, New Prague, MN 56071-2335 | 2006-06-17 |
| 1720034234 | John D Cervenka | Family Medicine | 301 Main St E, Suite 1, New Prague, MN 56071-1803 | 2006-05-26 |
| 1780641209 | Jun Hong Liang | Family Medicine | 212 County Road 37, New Prague, MN 56071 | 2006-04-27 |
| 1801887609 | Carl Everett Burkland | Family Medicine | 1400 1st St Ne, New Prague, MN 56071-2215 | 2005-10-31 |
| 1659710291 | David R. Dare | Family Medicine | 301 2nd St Ne, New Prague, MN 56071-1709 | 2013-06-17 |
| 1518124239 | Heather Hamernick | Family Medicine | 1400 1st St Ne, New Prague, MN 56071-2215 | 2008-05-20 |
| 1447424924 | Kristin E. Tiegs | Family Medicine | 301 Main St E, New Prague Medical Clinic, New Prague, MN 56071-1803 | 2008-04-16 |
| 1902093768 | John Edward Tieben | Family Medicine | 301 2nd St Ne, New Prague, MN 56071 | 2007-09-26 |
| 1841212677 | Jean E Craig | Family Medicine | 1400 1st St Ne, New Prague, MN 56071-2215 | 2006-07-24 |
| Find all providers in NEW PRAGUE | ||||
| City | NEW PRAGUE |
| Zip Code | 56071 |
Please comment or provide details below to improve the information on DR. MARK A 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.