NPI Code Detail JSON Logo

1588771653 NPI number — MICHAEL BERG MD

NPI Number: 1588771653
Health Care Provider/Practitioner: MICHAEL BERG MD

Information about “1588771653” NPI (MICHAEL BERG MD) exists in 1588771653 in HTML format HTML  |  1588771653 in plain Text format TXT  |  1588771653 in PDF (Portable Document Format) PDF  |  1588771653 in an XML format XML  formats.

NPI Number : 1588771653 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1588771653",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BERG",
    "FirstName": "MICHAEL",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1401 E 8TH ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WESLACO",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "78596-6640",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "956-973-5815",
    "MailingAddressFaxNumber": "956-969-0190",
    "FirstLinePracticeLocationAddress": "1330 E 6TH ST STE 203",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WESLACO",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "78596-6608",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "956-973-5815",
    "PracticeLocationAddressFaxNumber": "956-969-0190",
    "EnumerationDate": "08/24/2006",
    "LastUpdateDate": "01/04/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207RG0100X",
        "TaxonomyName": "Gastroenterology Physician",
        "LicenseNumber": "F3683",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.