Individual
DR. THOMAS D BERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3089 ANITA DR NE, IOWA CITY, IA 52240-9506
(319) 339-4284
Mailing address
3089 ANITA DR NE, IOWA CITY, IA 52240-9506
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
32176
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19308
BLUE CROSS BLUE SHIELD
IA
01
—
27680
BLUE CROSS BLUE SHIELD
IA
01
—
27683
BLUE CROSS BLUE SHIELD
IA
05
—
3210245
—
IA
05
—
4210245
—
IA
Enumeration date
05/26/2006
Last updated
09/12/2013
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