| Patrick Berg, MD | |
|
101 Bodin Cir, Travis Afb, CA 94535-1809 | |
| (707) 624-4000 | |
| (707) 423-7578 |
| Full Name | Patrick Berg |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 101 Bodin Cir, Travis Afb, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932593225 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0102X | Surgery - Surgical Critical Care | A174941 (California) | Secondary |
| 208600000X | Surgery | A174941 (California) | Primary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Entity Name | Regents Of The Univ Of Ca |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013906973 PECOS PAC ID: 3375456619 Enrollment ID: O20031111000892 |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick Berg, MD 101 Bodin Cir Bldg 777, Travis Afb, CA 94535-1809 Ph: (707) 423-5068 | Patrick Berg, MD 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: (707) 624-4000 |
Kaitlin May Gruenberg, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 60 Mdg/sgcq, 101 Bodin Circle, Travis Afb, CA 94535 Phone: 707-423-5216 | |
Dr. Jane Alston, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Circle, 60 Sgcs/sgcq, Travis Afb, CA 94533 Phone: 707-423-5224 | |
Danyal Fer, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 60 Mdg/sgcs, 101 Bodin Circle, Travis Afb, CA 94535 Phone: 707-423-7842 | |
Dr. Bryan Christopher Curtis, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 60 Mdg/sgcq, 101 Bodin Cir, Travis Afb, CA 94535 Phone: 786-423-5224 | |
Dr. Thomas Anthony Heafner, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 60 Mdg/60 Sgcs/sgch, 101 Bodin Cir, Travis Afb, CA 94535 Phone: 314-691-1352 | |
Hilary Beth Loge, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir Fl Clinic3, Travis Afb, CA 94535 Phone: 916-843-9224 | |
Sarah Catherine Bradford, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 650-714-1986 |