{"npi":"1124097977","type":"NPI-1","status":"active","name":{"display":"Richard Berg MD","other":[],"first":"RICHARD","last":"BERG","middle":"C","credential":"MD"},"specialty":{"primary_taxonomy":"208600000X","primary_taxonomy_description":"Surgery","slug":"surgery","schema_org_specialty":"Surgical","all":[{"code":"208600000X","description":"Surgery","primary":true,"state":"IN","license":"01056973A"}]},"addresses":[{"purpose":"LOCATION","street_1":"2600 GREENBUSH ST","city":"LAFAYETTE","state":"IN","postal_code":"479042479","country_code":"US","phone":"7654488000","fax":"7654488027"},{"purpose":"MAILING","street_1":"1200 W WHITE RIVER BLVD","city":"MUNCIE","state":"IN","postal_code":"473034988","country_code":"US","phone":"8776685621"}],"license":{"state":"IN","number":"01056973A"},"identifiers":[{"type_code":"01","label":"Other","value":"10923010","state":"IN","issuer":"CAQH NUMBER"},{"type_code":"05","label":"Medicaid","value":"200402790","state":"IN","issuer":null},{"type_code":"01","label":"Other","value":"000000248484","state":"IN","issuer":"ANTHEM PROVIDER NUMBER"},{"type_code":"01","label":"Other","value":"467264","state":"IN","issuer":"PHCS PID NUMBER"},{"type_code":"01","label":"Other","value":"G34750","state":"IN","issuer":"MEDICARE UPIN NUMBER"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20050204000157","type_code":"14-02","type_desc":"PRACTITIONER - GENERAL SURGERY","state":"IN","pac_id":"1759295058"}]},"enumeration_date":"2006-03-15","last_updated":"2021-02-01","_meta":{"source":"NPPES","snapshot_date":"2021-02-01","doc_url":"https://findmynpi.com/api"}}