Nathaniel Benjamin Berg, MD

Vascular & Interventional Radiology Physician · Tamuning, GU

Individual Active NPI

NPI number 1265646806

Practice location

633 Governor Carlos Camacho Road
Suite 210
Tamuning, GU 96913
Phone
(671) 649-1001
Fax
(671) 649-1002

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NPI record

NPI
1265646806
Entity type
Individual (Type 1)
Enumeration date
May 10, 2007
Last updated
December 9, 2019
Certified
December 9, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Vascular & Interventional Radiology Physician Primary 2085R0204X M-1142 GU
Nuclear Radiology Physician 2085N0904X M-1142 GU
Diagnostic Radiology Physician 2085R0202X M-1142 GU
Interventional Pain Medicine Physician 208VP0014X M-1142 GU

About Dr. Berg

Nathaniel Benjamin Berg, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Vascular & Interventional Radiology Physician (code 2085R0204X). The practice location is 633 Governor Carlos Camacho Road, Suite 210, Tamuning, GU 96913. The NPI number 1265646806 was assigned on May 10, 2007 and the record was last updated on December 9, 2019.

Dr. Berg lists 4 licenses in the registry: #M-1142 (GU) for Vascular & Interventional Radiology Physician; #M-1142 (GU) for Nuclear Radiology Physician; #M-1142 (GU) for Diagnostic Radiology Physician; #M-1142 (GU) for Interventional Pain Medicine Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Nathaniel Benjamin Berg, MD?

The NPI number is 1265646806.

What is the phone number of Dr. Berg?

The phone number listed for the practice location is (671) 649-1001.

Where is Dr. Berg located?

633 Governor Carlos Camacho Road, Suite 210, Tamuning, GU 96913.

What is the taxonomy code for Dr. Berg?

The primary taxonomy code is 2085R0204X – Vascular & Interventional Radiology Physician; 3 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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