NPI 1699738229 · live from the CMS NPI Registry
Christopher J Berg, PA-C
Physician Assistant in Bullhead City, AZ. National Provider Identifier 1699738229, active.
NPI record
| NPI | 1699738229 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 2350 Miracle Mile # 600a, Bullhead City, AZ 86442 |
| Practice phone | 928-758-9362 |
| Mailing address | 9097 W Post Rd Ste 100, Las Vegas, NV 89148 |
| Enumerated | April 6, 2006 |
| Last updated | December 30, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | PA00739 (NV) |
| Physician Assistant primary | 363A00000X | 8338 (AZ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.