| Provider / Organization | NPI | Date Certified |
|---|---|---|
| CAROLYN M BERG | 1649589227 | 2024-09-08 |
Carolyn M Berg [F] graduated in 2006 from Baylor College Of Medicine and primarily specializes in Hand Surgery.
Carolyn M Berg is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1649589227. Registration indicates Carolyn M Berg is a provider of services with a specialization in Allopathic & Osteopathic Physicians, Surgery (Surgery, ) (Specialist Network, ) (Surgery, Allopathic & Osteopathic Physicians) (Allopathic & Osteopathic Physicians, Surgery) (Surgery, ) (Specialist Network, ) (Surgery, Allopathic & Osteopathic Physicians) (Allopathic & Osteopathic Physicians, Surgery) (Surgery: Surgery of the Hand, ) (Specialist Network, ) (Surgery Surgery of the Hand, Allopathic & Osteopathic Physicians) (Surgery, ) (Allopathic & Osteopathic Physicians, Surgery) (Surgery: Surgery of the Hand, ) (Specialist Network, ) (Surgery Surgery of the Hand, Allopathic & Osteopathic Physicians) (Surgery, )
| PECOS ID | 4486805199 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Ms. Carolyn M Berg M.D. |
| Practice Office Address | 8110 S YALE AVE TULSA, OK US |
| Practice Office Telephone | 9185834400 |
| Practice Office Fax | 9185837908 |
| Mailing Address | 8110 S YALE AVE TULSA, OK 741372291 US |
| Business Telephone | 9185834400 |
| Business Fax | 9185837908 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 6475 S Yale Ave Ste 301 | Tulsa, OK 74136 | 9184949300 / 9184949355 |
| 2488 E 81st St Ste 290 | Tulsa, OK 741374265 | 9184942665 / 9189273201 |
| Code | Practice | License No State |
|---|---|---|
| 208600000X | Allopathic & Osteopathic Physicians Surgery Surgery Specialist Network Surgery Allopathic & Osteopathic Physicians | N6172
TX |
| 208600000X | Allopathic & Osteopathic Physicians Surgery Surgery Specialist Network Surgery Allopathic & Osteopathic Physicians | 31095
OK |
| 2086S0105X | Allopathic & Osteopathic Physicians Surgery Surgery: Surgery of the Hand Specialist Network Surgery Surgery of the Hand Allopathic & Osteopathic Physicians Surgery | N6172
TX |
| 2086S0105X PRIMARY | Allopathic & Osteopathic Physicians Surgery Surgery: Surgery of the Hand Specialist Network Surgery Surgery of the Hand Allopathic & Osteopathic Physicians Surgery | 31095
OK |
| 200573930A | MEDICAID | OK |