KEVIN MARINUS VANDEN BERGE (NPI# 1760695449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760695449 |
| Entity Type | Individual |
| Full Name | KEVIN MARINUS VANDEN BERGE |
| Credential | MD |
| Practice Address |
351 E Tarleton St Stephenville TX 76401-3511 |
| Mailing Address |
Po Box 2576 Stephenville TX 76401-0043 |
| Practice Telephone | 2549680292 |
| Practice Fax Number | 8882891607 |
| Mailing Telephone | 2549680292 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2019-03-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | N2329 | TX | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | AP 2247799-54061 | TX | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS | 8CU164 | 01 | |
| TX | 281982301 | 05 |
| Street Address |
351 E TARLETON ST |
| City | STEPHENVILLE |
| State | TX |
| Zip Code | 76401-3511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619535366 | Kyle Mitchell Koelker | Physician Assistant | 351 E Tarleton St, Stephenville, TX 76401-3511 | 2019-05-29 |
| 1679990147 | Kimberly Lefevre Chaplin | Nurse Practitioner | 351 E Tarleton St, Stephenville, TX 76401-3511 | 2014-03-23 |
| 1124450135 | Vb Orthopaedics Pa | Orthopaedic Surgery | 351 E Tarleton St, Stephenville, TX 76401-3511 | 2013-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700421930 | Catherine Johns | Speech-Language Pathologist | 418 County Road 428, # 418, Stephenville, TX 76401 | 2019-11-12 |
| 1457828683 | Allison Ann Luedeker | Nurse Practitioner | 950 Bluebonnet Street, Stephenville, TX 76401 | 2018-10-25 |
| 1326528092 | Stephanie Renee Drake | Speech-Language Pathologist | 1739 Bull Elk Dr, Stephenville, TX 76401 | 2018-08-21 |
| 1528564804 | Dylan D Dawson | Specialist/Technologist | 1590 Washington St, Stephenville, TX 76401 | 2018-04-04 |
| 1730680117 | Alison Lea Reynolds | Licensed Vocational Nurse | 208 Prairie Wind, Stephenville, TX 76401 | 2018-02-22 |
| 1760855977 | Gina Neri | Physical Therapy Assistant | 1670 West Lingley Rd, Stephenville, TX 76401 | 2015-11-10 |
| 1104216886 | Edmund Case Horton | Rehabilitation Counselor | 2443-8 Nw Loop, Stephenville, TX 76401 | 2015-02-02 |
| 1043648215 | Cross Timbers Imaging | Radiology | 561 N. Graham St, Stephenville, TX 76401 | 2013-10-24 |
| 1306273362 | Kelley Camille Verpooten | Counselor | 239 S. Virginia Street, Stephenville, TX 76401 | 2013-10-04 |
| 1477735140 | Nanette V Evans M.d., P.a. | Radiology | 150 Rivernorth Blvd., Stephenville, TX 76401 | 2007-12-04 |
| Find all providers in zip 76401 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285011502 | Jillian Kaye Mcangus | Orthopaedic Surgery | 561 N Graham St, Stephenville, TX 76401-3548 | 2015-05-06 |
| 1124450135 | Vb Orthopaedics Pa | Orthopaedic Surgery | 351 E Tarleton St, Stephenville, TX 76401-3511 | 2013-07-31 |
| 1033188800 | William R Evans | Orthopaedic Surgery | 561 N Graham St, Stephenville, TX 76401-3548 | 2006-03-15 |
| 1619972221 | Dennis Graham | Orthopaedic Surgery | 150 River North Blvd, Stephenville, TX 76401-1803 | 2005-06-20 |
| 1801891304 | Floyd James Herbertson | Orthopaedic Surgery | 150 River North Blvd, Stephenville, TX 76401-1803 | 2005-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598362436 | Ortholonestar, Pllc | Orthopaedic Surgery | 4215 Benner Ste 301, Kyle, TX 78640-2223 | 2020-10-05 |
| 1417554353 | Ortholonestar, Pllc | Orthopaedic Surgery | 1401 Medical Pkwy Ste 109b, Cedar Park, TX 78613-5012 | 2020-10-05 |
| 1639776685 | Ortholonestar, Pllc | Orthopaedic Surgery | 708 E Corsicana St, Athens, TX 75751-2627 | 2020-10-02 |
| 1609483155 | Ortholonestar, Pllc | Orthopaedic Surgery | 203 Nacogdoches St Ste 350, Jacksonville, TX 75766-2454 | 2020-09-29 |
| 1396352878 | Ortholonestar, Pllc | Orthopaedic Surgery | 4215 Benner Ste 300, Kyle, TX 78640-2224 | 2020-09-28 |
| 1770190241 | Ortholonestar, Pllc | Orthopaedic Surgery | 1701 N Us Highway 281, Marble Falls, TX 78654-4311 | 2020-09-28 |
| 1134736796 | Ortholonestar, Pllc | Orthopaedic Surgery | 6444 State Highway 19 S, Athens, TX 75751-8968 | 2020-09-28 |
| 1982211454 | Ortholonestar, Pllc | Orthopaedic Surgery | 1401 Medical Pkwy Ste 120b, Cedar Park, TX 78613-7763 | 2020-09-28 |
| 1528675097 | Ortholonestar, Pllc | Orthopaedic Surgery | 3755 S Capital of Texas Hwy Ste 160, Austin, TX 78704-6645 | 2020-09-28 |
| 1609483767 | Eric Sides, M.d., Pa | Orthopaedic Surgery | 820 E Redd Rd Bldg B, El Paso, TX 79912-7275 | 2020-09-23 |
| Find all providers with the same taxonomy | ||||
| City | STEPHENVILLE |
| Zip Code | 76401 |
Please comment or provide details below to improve the information on KEVIN MARINUS VANDEN BERGE.
| 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.