Berg, James P

Berg, James P is an individual health care provider with primary practice located at 5300 North St , Nacogdoches TX 75965. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Berg, James P can be contacted via phone (936) 569-8278.

Contact Information

Primary practice address
5300 North St Nacogdoches TX 75965
Phone: (936) 569-8278
Fax: (936) 569-0275
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X R5082 Texas

Profile Details

NPI number 1982015921
LBN Legal business name Berg, James P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2014
Last updated Jun 12th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982015921 NPPES
Texas MEDICAID 3826927

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