JACK L. BERG MD
NPI 1639160021
Family Medicine in Shreveport, LA
About Jack L. Berg Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACK L. BERG MD (NPI 1639160021) is an individual family medicine provider in Shreveport, Louisiana, licensed in Louisiana (15000R) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Willis Knighton Medical Center, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (1982).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jack L. Berg Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Jack Berg reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Shreveport, LA 71115
- Reassigned Medicare billing, Louisiana enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 9
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Willis Knighton Medical Center
Acute Care Hospitals · Shreveport, LAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 71105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 4
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SHREVEPORT, LA 71105
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 Jack Berg's NPI number?
The NPI number for Jack Berg is 1639160021. It was assigned to this individual provider in the NPPES registry on November 3, 2005.
Where is Jack Berg located?
Jack Berg practices at 7813 Youree Dr, Shreveport, LA 71105. The listed phone number is (318) 212-3830.
What is Jack Berg's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Jack Berg enrolled in Medicare?
Yes. Jack Berg is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Jack Berg's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jack Berg reassigns Medicare benefits to Family Medical Center (Shreveport, LA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jack Berg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jack Berg accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 2 other insurers list Jack 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.
Is Jack Berg affiliated with any hospitals?
According to CMS data, Jack Berg is affiliated with Willis Knighton Medical Center.
When was this NPI record last updated?
The NPPES record for Jack Berg was last updated on June 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jack L. Berg, MD · NPI 1639160021
Family Medicine physician in Shreveport, Louisiana. Individual provider, active in the CMS NPPES registry since November 3, 2005.
## Identity
- **NPI:** 1639160021 (Entity type: Individual)
- **Enumerated:** November 3, 2005
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 15000R (Louisiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 7813 YOUREE DR, Shreveport, LA 71105-5505
- **Phone:** (318) 212-3830 · **Fax:** (318) 212-3835
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Family Medical Center (NPI 1225029515, Shreveport, LA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Kansas School Of Med, class of 1982
## Record status
- **NPPES last updated:** June 17, 2021
- **Other identifiers:** Medicaid 1160571 (LA)
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Source: [NPI Profile](https://npiprofile.com/npi/1639160021) · Data from the CMS NPPES public registry.