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MARY ELLEN BERG M.D.
NPI 1174524391
Ophthalmology in Shreveport, LA

Active since August 10, 2005
1068 WINTERBERRY LN, SHREVEPORT, LA 71106(318) 469-8400 Get Directions Write a Review

NPPES record last updated: November 24, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 24, 2025, Dec 11, 2020 (2 updates tracked since 2020).

About Mary Ellen Berg M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY ELLEN BERG M.D. (NPI 1174524391) is an individual ophthalmology provider in Shreveport, Louisiana, licensed in Louisiana (019001) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1174524391
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameMARY ELLEN BERGCredential: M.D.
Location Address1068 WINTERBERRY LNShreveport, LA 71106-8551
Mailing Address1068 Winterberry LnShreveport, LA 71106-8551 · (318) 469-8400
Phone(318) 469-8400
Sole ProprietorNo
Enumeration DateAugust 10, 2005
Last NPPES UpdateNovember 24, 20252 updates tracked since enumeration
NPPES CertifiedNovember 24, 2025
✔ NPI 1174524391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in LA · 019001
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1068 WINTERBERRY LN, Shreveport, LA 71106
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Other Identifiers 5

Other123802001AR · Arkansas Medicaid
Other1053315846LA · Group Medicare Number
Medicaid1922871LA
Other078737601TX · Texas Medicaid
OtherP00375906LA · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMO Louisiana.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Berg's NPI number?

The NPI number for Mary Berg is 1174524391. It was assigned to this individual provider in the NPPES registry on August 10, 2005.

Where is Mary Berg located?

Mary Berg practices at 1068 Winterberry Ln, Shreveport, LA 71106. The listed phone number is (318) 469-8400.

What is Mary Berg's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

What insurance does Mary Berg accept?

Health plans from HMO Louisiana list Mary Berg as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Berg was last updated on November 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.