TOD L BERG M.D. P.C. NPI 1245496355

NPI Information

  • NPI: 1245496355
  • Provider Name: TOD L BERG, M.D., P.C.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 1467 S HIGHWAY 40
    HEBER CITY, UT
    ZIP 84032
  • Phone: (435) 654-6321

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NPI Details

TOD L BERG, M.D., P.C. is a family medicine in Heber City, UT. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. TOD L BERG, M.D., P.C. NPI is 1245496355. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1467 S HIGHWAY 40
HEBER CITY, UT
ZIP 84032-522
Phone: (435) 654-6321
Fax: (435) 654-6364

The provider's authorized official is Tod L Berg .
The authorized official title is Owner and has the following contact phone number (435) 654-6321.

The enumeration date for this NPI number is 7/29/2008 and was last updated on 7/30/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine2644771205UTAHYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1F61510MEDICARE UPINUTAH
21245496355OTHERUTAHORGANIZATIONAL NPI
3000011544MEDICARE PINUTAH
41497713648OTHERUTAHINDIVIDUAL NPI
5529061882001MEDICAIDUTAH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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