MEDICARE: LAMONT STEVEN BERG M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	M2260	TX

General Provider Information

NPI Number	:	1245207190
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAMONT STEVEN BERG M.D.

Provider Business Mailing Address
First Line	:	703 E MARSHALL AVE
Second Line	:	#4002
City	:	LONGVIEW
State	:	TX
Zip	:	75601-5500
Country	:	US
Telephone Number	:	903-247-2050
Fax Number	:	903-247-2054

Provider Business Practice Location Address
First Line	:	3280 JOE BATTLE BLVD
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79938-2622
Country	:	US
Telephone Number	:	915-832-2000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/28/2006
Last Update Date	:	08/29/2025

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