National Provider Identifier

Rebecca Berg, P.A.

Rebecca Berg, P.A. is listed in the NPPES registry with a primary specialty of Physician Assistant in Rochester, NY and a listed phone number of (585) 922-4000.

NPI 1184703530Rochester, NYPhysician Assistant

Profile Overview

NPI
1184703530
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
November 06, 2006
Last Updated
April 27, 2021

Practice Location

  • 1425 Portland Ave
  • Rochester, NY 14621-3001

Phone: (585) 922-4000

Specialties

  • Physician Assistant (363A00000X)

Endpoints

  • rberg110986@direct.rochesterregional.org

    Direct Messaging Address | Direct | Rochester, NY 14621

Full Record
NPI
1184703530
Entity Type
Individual
Last Name
Berg
First Name
Rebecca
Credential
P.A.
Provider Other Last Name
Donovan
Provider Other First Name
Rebecca
Provider Other Credential Text
P.A.
Provider Other Last Name Type Code
1
Mailing Street Address
1425 Portland Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14621-3001
Mailing Country
US
Mailing Phone
(585) 922-3019
Practice Street Address
1425 Portland Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14621-3001
Practice Country
US
Practice Phone
(585) 922-4000
Enumeration Date
November 06, 2006
Last Updated
April 27, 2021
Sex
Female
Sole Proprietor
No
Certification Date
April 27, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X)