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Contact Information

JONATHON H BERG, MD
1300 SOUTH COLUMBIA ROAD
GRAND FORKS, ND58201-4032
 Phone: 701-780-5000
 Fax: 701-587-6009
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JONATHON H BERG · (Male)

NPI Number 1073513982
Status Active
Credentials MD
Entity Individual
Enumeration date 07/21/2005
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • ND License # 5113
  • MN Medicaid 514800600
  • ND Medicaid 12955
  • Other 917187 FIRST HEALTH (MAILHANDLERS)
  • Other 01-19160 MEDICA
  • Other NA9481022061 PREFERRED ONE
  • MN Other 268M0BE MN BCBS
  • ND Other 23749 ND BCBS
Hospital affiliation(s)
  • ALTRU HOSPITAL - (Acute Care)
    1200 S COLUMBIA RD
    GRAND FORKS, ND 58201
  • COOPERSTOWN MEDICAL CENTER - (Critical Access)
    1200 ROBERTS AVE NE
    COOPERSTOWN, ND 58425
  • NELSON COUNTY HEALTH SYSTEM - (Critical Access)
    200 N MAIN ST
    MCVILLE, ND 58254
  • NORTHWOOD DEACONESS HEALTH CENTER - (Critical Access)
    PO BOX 190
    NORTHWOOD, ND 58267
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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