Individual provider · NPI-1

Dr. William Travis Berg, MD

Urology · Stony Brook, NY

NPI number1184068520
StatusActive
Last updated in NPPESJun 26, 2026

Details

NPI
1184068520
Entity type
Individual (NPI-1)
Name
Dr. William Travis Berg
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Apr 27, 2013
Certification date
Jun 26, 2026
Last updated
Jun 26, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208800000X Urology298949NYYes
208800000X UrologyMD16713RI

Practice location

101 Nicolls Road
Hsc T9-040
Stony Brook, NY 11794

Phone 631-444-1910

Mailing address

Po Box 1559
Stony Brook, NY 11790-0989

Phone 914-393-3355

Other practice locations

200 High Service Ave
North Providence, RI 02904-5113

Phone 401-456-3000

Stony Brook Medicine
Hsc 19-030
Stony Brook, NY 11794-8191

Phone 631-444-1791

825 Chalkstone Ave
Providence, RI 02908-4728

Phone 401-456-2000

2 Dudley St
Providence, RI 02905-3236

Phone 401-444-0710

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