Tod L Berg, M.D., P.C.

LBN: Tod L Berg, M.D., P.C.
Tod L Berg, M.D., P.C. is an health care organization with primary practice located at 1467 S Highway 40 , Heber City UT 84032-3522. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Tod L Berg, M.D., P.C. can be contacted via phone (435) 654-6321, or through Berg, Tod L via phone (435) 654-6321.

Contact Information

Primary practice address
1467 S Highway 40 Heber City UT 84032-3522
Phone: (435) 654-6321
Fax: (435) 654-6364
Website:
Map and Directions
Authorized official contact:
Name: Berg, Tod L Doctor of Medicine (MD)
Phone: (435) 654-6321

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2644771205 Utah

Profile Details

NPI number 1245496355
LBN Legal business name Tod L Berg, M.D., P.C.
DBA Doing business as
Authorized official Berg, Tod L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 29th, 2008
Last updated Jul 30th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245496355 NPPES
Utah Other 1245496355 ORGANIZATIONAL NPI
Utah MEDICAID 529061882001 ORGANIZATIONAL NPI
Utah Other 1497713648 ORGANIZATIONAL NPI

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