Individual
DR. RICHARD A BERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
5010 RANDALL PKWY, WILMINGTON, NC 28403-2829
(910) 791-5719
(910) 799-8180
Mailing address
5010 RANDALL PKWY, WILMINGTON, NC 28403-2829
(910) 791-5719
(910) 799-8180
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
1976
NC
103TC0700X
Clinical Psychologist
1976
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0334H
BLUE CROSS BLUE SHIELD
NC
01
—
07740
MAGALLEN
—
01
—
280096 PIN
VALUE OPTIONS
—
01
—
5777071
AETNA
—
01
—
61-00496
UNITED HEALTHCARE
—
01
—
A206244
GROUP
—
01
—
B5232
MEDCOST
—
Enumeration date
07/21/2006
Last updated
05/03/2026
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