MEDICARE: DR. SAMUEL WILLIAM BERG II 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	207R00000X	Internal Medicine Physician	0101054512	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	089265	OTHER	VA	ANTHEM
3	47211	OTHER	VA	SENTARA HEALTH
4	4975014	OTHER	VA	VIRGINIA PREMIER

General Provider Information

NPI Number	:	1659349017
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SAMUEL WILLIAM BERG II M.D.

Provider Business Mailing Address
First Line	:	3130 VICTORIA BLVD
Second Line	:
City	:	HAMPTON
State	:	VA
Zip	:	23661-1544
Country	:	US
Telephone Number	:	757-315-3763
Fax Number	:	757-727-1185

Provider Business Practice Location Address
First Line	:	3130 VICTORIA BLVD
Second Line	:
City	:	HAMPTON
State	:	VA
Zip	:	23661-1544
Country	:	US
Telephone Number	:	757-315-3763
Fax Number	:	757-727-1185

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

Provider Enumeration Date	:	03/10/2006
Last Update Date	:	09/19/2008

Similar Medicare Providers

1144298142 — COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH
Practice Location Address:

3130 VICTORIA BLVD
HAMPTON, VA
23661-1544

Practice Phone: 757-727-1172
Practice Fax: 757-727-1185

1356319677 — MR. JOSEPH EDWARD MANNO
Practice Location Address:

3130 VICTORIA BLVD
HAMPTON, VA
23661-1544

Practice Phone: 757-727-1172
Practice Fax: 757-727-1185

1275659690 — VIRGINIA DEPARTMENT OF HEALTH
Practice Location Address:

3130 VICTORIA BLVD
HAMPTON, VA
23661-1544

Practice Phone: 757-727-1172
Practice Fax: 757-727-1185

1457956880 — LILLIE S PARKER M.S., CCC-SLP
Practice Location Address:

671 BELL ST
HAMPTON, VA
23661-1403

Practice Phone: 757-727-1071
Practice Fax:

1730038886 — BRAXTON FAMILY SERVICES
Practice Location Address:

620 DOWNING ST
HAMPTON, VA
23661-1406

Practice Phone: 252-690-1254
Practice Fax:

1760322556 — RESTORATION POINTE COUNSELING CENTER
Practice Location Address:

616 DOWNING ST
HAMPTON, VA
23661-1406

Practice Phone: 727-353-2939
Practice Fax:

Directions to “ DR. SAMUEL WILLIAM BERG II M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.