DR. KERRY ELIZEBETH BERG (NPI# 1831196815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831196815 |
| Entity Type | Individual |
| Full Name | DR. KERRY ELIZEBETH BERG |
| Credential | DPM |
| Practice Address |
9348 Grand Cordera Pkwy Ste 210 Colorado Springs CO 80924 |
| Mailing Address |
9348 Grand Cordera Pkwy Ste 210 Colorado Springs CO 80924 |
| Practice Telephone | (719) 594-9920 |
| Practice Fax Number | 7195986212 |
| Mailing Telephone | (719) 594-9920 |
| Mailing Fax Number | 7195986212 |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2017-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 0000518 | CO | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
517 | CO | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | TAX ID | 841087985 | 01 |
| CO | 04532339 | 05 | |
| CO | STATE LISCENSE | 517 | 01 |
| Street Address |
9348 GRAND CORDERA PKWY STE 210 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780866459 | Intermountain Foot & Ankle Assoc P.c | Podiatrist | 9348 Grand Cordera Pkwy Ste 210, Colorado Springs, CO 80924-7002 | 2007-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831714237 | Retina Consultants of Southern Colorado P C | Ophthalmology | 10035 Pearl Pass View, Suite 110, Colorado Springs, CO 80924 | 2020-06-11 |
| 1750808200 | Melody Living Associates, LLC | Assisted Living Facility | 7600 Sand Rock Point, Colorado Springs, CO 80924 | 2017-08-25 |
| 1891156436 | Kristin Speer | Pharmacist | 5215 Mount Cutler Ct, Colorado Springs, CO 80924 | 2016-03-10 |
| 1336553874 | Roman Igorevich Krivochenitser | Ophthalmology | 9320 Grand Cordera Pkwy Ste 255, Colorado Springs, CO 80924 | 2014-06-12 |
| 1659790202 | Center At Centennial, LLC | Skilled Nursing Facility | 9208 Grand Cordera Parkway, Colorado Springs, CO 80924 | 2014-04-10 |
| 1487903076 | Flora N Dewald | Physical Therapist | 9559 Pancake Rocks Trail, Colorado Springs, CO 80924 | 2012-08-29 |
| 1760613863 | Nicole R Hartmann | Dentist | 9625 Prominent Point Suite 100, Colorado Springs, CO 80924 | 2009-08-06 |
| 1700020104 | Prominent Point Dental Group and Orthodontics, LLP | Dentist | 9625 Prominent Point, Suite 100, Colorado Springs, CO 80924 | 2009-04-29 |
| 1801087044 | James C Banich | Plastic Surgery | 9348 Grand Cordera Pkwy Ste 160, Colorado Springs, CO 80924 | 2007-08-05 |
| 1275747933 | Carefree Family Medicine | Family Medicine | 9320 Grand Cordera Parkway, Suite 235, Carefree Family Medicine, Colorado Springs, CO 80924 | 2007-05-10 |
| Find all providers in zip 80924 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376606392 | Kenneth N Coates | Podiatrist | 1512 N Union Blvd, Suite 100, Colorado Springs, CO 80909-2810 | 2006-12-19 |
| 1861411225 | Judson T Davis | Podiatrist | 1955 Dominion Way, Suite 130, Colorado Springs, CO 80918-1480 | 2006-07-18 |
| 1568455061 | Gerald Richard Travers | Podiatrist | 1612 E Pikes Peak Ave, Colorado Springs, CO 80909-5619 | 2005-08-30 |
| 1831181536 | Jeremy A Mcvay | Podiatrist | 8580 Scarborough Dr Ste 120, Colorado Springs, CO 80920-7583 | 2005-08-18 |
| 1184616278 | John Robert Swenson | Podiatrist | 2287 Rocking Horse Ct, Colorado Springs, CO 80921-6401 | 2005-08-16 |
| 1427058155 | Stanton Clair Southward | Podiatrist | 1900 E Pikes Peak Ave, Suite 4, Colorado Springs, CO 80909-5850 | 2005-07-22 |
| 1659984003 | Poudre Valley Medical Group, LLC | Podiatrist | 1400 E Boulder St Ste 600, Colorado Springs, CO 80909-5533 | 2020-08-26 |
| 1316467459 | Maya Christie Trueman | Podiatrist | 455 E Pikes Peak Ave Ste 220, Colorado Springs, CO 80903-3673 | 2017-06-20 |
| 1770712424 | Michael Scott Peck | Podiatrist | 1155 Kelly Johnson Blvd, #310, Colorado Springs, CO 80920-3932 | 2009-07-02 |
| 1003050899 | Matthew Diehl Hinderland | Podiatrist | 1465 Kelly Johnson Blvd Ste 100, Colorado Springs, CO 80920-3945 | 2009-04-24 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80924 |
Please comment or provide details below to improve the information on DR. KERRY ELIZEBETH 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.