DR. RUSSELL R. BERG D.C. NPI 1629014105

NPI Information

NPI: 1629014105
Provider Name: DR. RUSSELL R. BERG, D.C.
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
13835 N TATUM BLVD
SUITE 3
PHOENIX, AZ
ZIP 85032
Phone: (602) 953-1900
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DR. Russell R. Berg, D.C. is a chiropractor in Phoenix, AZ. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. DR. Russell R. Berg, D.C. NPI is 1629014105. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

13835 N TATUM BLVD
SUITE 3
PHOENIX, AZ
ZIP 85032-581
Phone: (602) 953-1900

The enumeration date for this NPI number is 6/21/2006 and was last updated on 7/8/2007.

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
1	111N00000X	Chiropractor		1080	ARIZONA	Yes
2	111NS0005X	Chiropractor	Sports Physician	1080	ARIZONA	X

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: 11/14/2023

NPI Synchronization or Removal

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