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Organization

RICHARD A. BERG, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RICHARD A. BERG PH.D. (NEUROPSYCHOLOGIST/PSYCHOLOGIST)
(910) 791-5719
Entity
Organization

Contact information

Practice address
5010 RANDALL PARKWAY, WILMINGTON, NC 28403
(910) 791-5719
(910) 799-8180
Mailing address
5010 RANDALL PARKWAY, WILMINGTON, NC 28403
(910) 791-5719
(910) 799-8180

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
1976
NC
103TC0700X
Clinical Psychologist
Primary
1976
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0334H
BLUE CROSS BLUE SHIELD
NC
01
07740
MAGELLAN
01
280096/A206244
VALUE OPTIONS
01
5777071
AETNA
01
61-00496
UNITED HEALTH CARE/UBH
01
B5232
MEDCOST
Enumeration date
10/02/2006
Last updated
09/11/2025
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