DANIEL BERG

Address: 1229 Madison Street, Suite 1090, Seattle, WA 98104
Phone: 2062153300

DANIEL BERG (NPI# 1760549950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760549950
Entity Type 1 - Individual
Full Name DANIEL BERG
Credential M.D.
Practice Address 1229 Madison Street
Suite 1090
Seattle
WA 98104
Practice Telephone 2062153300
Practice Fax Number 2062153301
Enumeration Date 01/03/2007
Last Update Date 07/16/2014
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207N00000X Dermatology MD00035013 WA Allopathic & Osteopathic Physicians
Y 207ND0101X Dermatology
Specialization: MOHS-Micrographic Surgery
MD00035013 WA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
INTERNAL ID-MOTOR VEHICLE ID 225990 01
WA L&I 0230738 01
WA 1760549950 05

Office Location

Street Address 1229 MADISON STREET
SUITE 1090
City SEATTLE
State WA
Zip Code 98104

Providers with the same location

NPI Name Address
1225002967 DR. MARYBETH ARVIDSON GRAZKO 1229 Madison Street, Suite 615, Seattle, WA 98104
1669422994 DR. CRAIG STEVEN BIRKBY 1229 Madison Street, Suite 1090, Seattle, WA 98104
1063455897 SEATTLE RADIOLOGISTS A PROFESSIONAL CORPORATION 1229 Madison Street, Suite 900, Seattle, WA 98104-1391
1740369644 MR. DAVID SW DJANG 1229 Madison Street, Suite 1150, Seattle, WA 98104-3587
1558440453 MS. MARIANNE C GREENBAUM 1229 Madison Street, Suite 1150, Seattle, WA 98104-3587
1083793988 MS. ELEANOR V L DJANG 1229 Madison Street, Suite 1150, Seattle, WA 98104-3587
1518046416 KEITH Y WANG 1229 Madison Street, Suite 1150, Seattle, WA 98104-3587
1043399942 DAVID R HASELEY 1229 Madison Street, Suite 1150, Seattle, WA 98104-3587
1114006913 BARRY S MAHONY 1229 Madison Street, Suite 1150, Seattle, WA 98104-3587
1922187723 JACK H HIRSCH 1229 Madison Street, Suite 1150, Seattle, WA 98104-3587

Competitor

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City SEATTLE
Zip Code 98104

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.