DR. DAVID TIMOTHY BERG (NPI# 1629116629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629116629 |
| Entity Type | Individual |
| Full Name | DR. DAVID TIMOTHY BERG |
| Credential | D.O. |
| Practice Address |
3600 30th St Des Moines IA 50310-5753 |
| Mailing Address |
8836 Denton Pl Johnston IA 50131-2751 |
| Practice Telephone | 5156995999 |
| Mailing Telephone | 5159860024 |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | 2023 | IA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891747739 | David Berg | Physician Assistant | 4295 Hempstead Turnpike, Er Dept Island Medical Physicians, Beth Page, NY 11714 | 2006-05-17 |
| 1578534681 | David S Berg | Psychologist | 40 Woodale Rd, Philadelphia, PA 19118-3430 | 2006-01-27 |
| 1619970589 | David Christian Berg | Orthopaedic Surgery | 3334 Capital Medical Blvd, Ste. 400, Tallahassee, FL 32308-8405 | 2005-05-24 |
| 1992162382 | David Bryon Berg | Counselor | 2499 Rice St, Suite 201, Roseville, MN 55113-3724 | 2016-01-15 |
| 1700228616 | David Curtis Berg | Pharmacist | 4890 N High St, Columbus, OH 43214-1552 | 2013-07-19 |
| 1932441706 | David Berg | Internal Medicine | 102 E Lake Mead Pkwy, Henderson, NV 89015-5575 | 2013-03-20 |
| 1255625471 | David Douglas Berg | Internal Medicine | 75 Francis St, Boston, MA 02115-6110 | 2011-06-06 |
| 1124286604 | David Adam Berg | Surgery | 120 White Horse Pike, Suite 103, Haddon Heights, NJ 08035-1938 | 2008-05-30 |
| 1154531549 | David Alan Berg | Social Worker | N15019 Hannahville B1 Rd, Wilson, MI 49896 | 2007-05-23 |
| 1841340940 | David Joseph Berg | Dentist | 87 Scripps Dr, Suite #314, Sacramento, CA 95825-6372 | 2007-01-11 |
| Street Address |
3600 30TH ST |
| City | DES MOINES |
| State | IA |
| Zip Code | 50310-5753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285635854 | Douglas J Fitzgerald | Pharmacist | 3600 30th St, Pharmacy Dept Mail Stop 119, Des Moines, IA 50310-5876 | 2005-08-04 |
| 1144821091 | Grace Fenner | Pharmacist | 3600 30th St, Des Moines, IA 50310-5753 | 2020-11-06 |
| 1356942213 | Megan Trimble | Recreation Therapist | 3600 30th St, Des Moines, IA 50310-5753 | 2020-11-05 |
| 1881295376 | Christine Louise Way | Respiratory Therapist, Registered | 3600 30th St, Des Moines, IA 50310-5753 | 2020-11-03 |
| 1457951568 | Paige N Webb | Technician, Pathology | 3600 30th St, Des Moines, IA 50310-5753 | 2020-10-28 |
| 1407455546 | Suzanne Elizabeth Anderson | Music Therapist | 3600 30th St, Des Moines, IA 50310-5753 | 2020-10-20 |
| 1457958787 | Cole Jones Fister | Physical Therapist | 3600 30th St, Des Moines, IA 50310-5753 | 2020-10-09 |
| 1548875909 | Jessica Rose-stults Quintanilla | Registered Nurse | 3600 30th St, Des Moines, IA 50310-5753 | 2020-09-12 |
| 1780293688 | Kailey Ann Ingram | Nurse Practitioner | 3600 30th St, Des Moines, IA 50310-5753 | 2020-07-27 |
| 1679181606 | John Matthew Boltz | Registered Nurse | 3600 30th St, Des Moines, IA 50310-5753 | 2020-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295392082 | Cofe Amera LLC | Meals | 4940 Franklin Ave., Des Moines, IA 50310 | 2019-05-28 |
| 1790237444 | Shannon Schneider | Occupational Therapy Assistant | 3802 Hillcrest Dr, Des Moines, IA 50310 | 2016-10-28 |
| 1013261874 | Department of Veterans Affairs Central Iowa Health Care System | Long Term Care Hospital | 3011 Aurora Ave, Des Moines, IA 50310 | 2012-11-01 |
| 1700095551 | Real Optics Inc | Eyewear Supplier (Equipment, not the service) | 100 Merle Hay Road, Merle Hay Mall, Des Moines, IA 50310 | 2007-05-21 |
| 1184776023 | Mosaic | Intermediate Care Facility, Mentally Retarded | 4201 41st Street, Des Moines, IA 50310 | 2007-01-18 |
| 1639237951 | Terry D. Huseman Od PC | Optometrist | 3800 Merle Hay Rd #501, Des Moines, IA 50310 | 2006-12-06 |
| 1386710259 | Mosier Dental Associates | Dentist | 1816 Beaver Ave, Des Moines, IA 50310 | 2006-11-24 |
| 1194828632 | James Matthew Talone | Psychologist | Va Cihcs (116a), 3600 30th St, Des Moines, IA 50310 | 2006-09-07 |
| 1437251824 | Mary Cynthia Chicoine | Social Worker | 3601 Douglas Ave, Des Moines, IA 50310 | 2006-09-05 |
| 1508978602 | Chadwick Aaron Johnson | Dentist | 3710 Merle Hay Road, Des Moines, IA 50310 | 2006-08-31 |
| Find all providers in zip 50310 | ||||
| Taxonomy Code | 204C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine, Sports Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326008368 | Chad Thomas Carlson | Neuromusculoskeletal Medicine, Sports Medicine | 6000 University Ave, Suite 250, West Des Moines, IA 50266-8203 | 2006-03-24 |
| City | DES MOINES |
| Zip Code | 50310 |
Please comment or provide details below to improve the information on DR. DAVID TIMOTHY 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.