Individual
CARL RONALD BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
605 OLD AUSTIN HWY, BASTROP, TX 78602
(877) 800-5722
(512) 332-2180
Mailing address
205 E UNIVERSITY AVE, SUITE 200, GEORGETOWN, TX 78626-6814
(512) 686-0207
(512) 869-2940
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00578
TX
363AM0700X
Medical Physician Assistant
PA00578
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1819898-02
—
TX
Enumeration date
07/13/2006
Last updated
02/24/2026
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