MARK A. BERG MD – NPI #1245221647
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

MARK BERG is a physician located in NEW PRAGUE, MN. NPPES has assigned the NPI number 1245221647 to MARK BERG on November 03, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine. Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was last updated on Oct 31, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MARK BERG below.

NPI Profile for
MARK A. BERG

NPI Number
1245221647
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MARK A. BERG
Credentials
MD
Primary location
1400 1ST ST NE
NEW PRAGUE, MN 56071-2215
Phone: (952) 758-2535 Fax: (952) 548-6160
1 Other location(s):
9981 S Healthpark Dr
Fort Myers, FL 33908-3618
Phone: (239) 628-3192
Fax: (239) 647-5431
Mailing address
580 RICE ST
SAINT PAUL, MN 55103-2148
Phone: (651) 227-6551 Fax:
Sole Proprietor
No
Updated
Certification Date
Oct 31, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MARK BERG

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidFL127719100
medicaidMN979826900
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)		 MN 38780
208M00000X
- Hospitalist		 FL ME174964
207V00000X
- Obstetrics & Gynecology		 MN 38780
207QS0010X
- Family Medicine / Sports Medicine		 MN 38780
207QG0300X
- Family Medicine / Geriatric Medicine		 MN 38780
207QA0000X
- Family Medicine / Adolescent Medicine		 MN 38780

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL - Graduated 1995
Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
MARK BERG is affiliated with the following medical group(s):
  • HOSPITAL
    • M HEALTH FAIRVIEW ST JOHN'S HOSPITAL
      1575 BEAM AVENUE
      MAPLEWOOD, MN 55109
    • M HEALTH FAIRVIEW WOODWINDS HOSPITAL
      1925 WOODWINDS DRIVE
      WOODBURY, MN 55125

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.