LAVONNE A. BERG MD – NPI #1396840583
Internal Medicine

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

LAVONNE BERG is a physician located in BOLIVAR, MO. NPPES has assigned the NPI number 1396840583 to LAVONNE BERG on September 13, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RE0101X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism

The NPI profile was previously updated about 15 years ago on Jan 17, 2011. 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 LAVONNE BERG below.

NPI Profile for
LAVONNE A. BERG

NPI Number
1396840583
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
LAVONNE A. BERG
Credentials
MD
Primary location
1551 N. OAKLAND
BOLIVAR, MO 65613
Phone: (417) 328-6738 Fax: (417) 328-6776
Mailing address
1500 N OAKLAND AVE
BOLIVAR, MO 65613-3011
Phone: (417) 328-6738 Fax: (417) 328-6776
Sole Proprietor
No
Updated
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
207RE0101X
- Internal Medicine / Endocrinology, Diabetes & Metabolism (Primary)
MO MD114202

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.