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Robert J. Berg, M.D., P.A.

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Company Details

Name: Robert J. Berg, M.D., P.A.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 22 Feb 1978 (47 years ago)
Business ID: 108366
ZIP code: 39305
County: Lauderdale
State of Incorporation: MISSISSIPPI
Principal Office Address: 328 Driftwood DriveMERIDIAN, MS 39305
Historical names: W. CECIL JOHNSON, M. D., P. A.

Agent

Name Role Address
Berg, Robert J Agent 328 Driftwood Drive, Meridian, MS 39305

Incorporator

Name Role Address
W Cecil Johnson Incorporator 3725 Old Marion Road, Meridian, MS 39301

Director

Name Role Address
Robert J Berg Director 328 DRIFTWOOD DRIVE, MARION, MS 39342
Janet Berg Director 328 DRIFTWOOD DRIVE, MARION, MS 39342

President

Name Role Address
Robert J Berg President 328 DRIFTWOOD DRIVE, MARION, MS 39342

Treasurer

Name Role Address
Robert J Berg Treasurer 328 DRIFTWOOD DRIVE, MARION, MS 39342

Secretary

Name Role Address
Janet Berg Secretary 328 DRIFTWOOD DRIVE, MARION, MS 39342

Vice President

Name Role Address
Janet Berg Vice President 328 DRIFTWOOD DRIVE, MARION, MS 39342

National Provider Identifier

NPI Number:
1528245404

Authorized Person:

Name:
DR. ROBERT J BERG
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Filings

Type Status Filed Date Description
Annual Report Filed 2025-04-10 Annual Report For Robert J. Berg, M.D., P.A.
Annual Report Filed 2024-06-17 Annual Report For Robert J. Berg, M.D., P.A.
Annual Report Filed 2023-03-14 Annual Report For Robert J. Berg, M.D., P.A.
Annual Report Filed 2022-04-11 Annual Report For Robert J. Berg, M.D., P.A.
Annual Report Filed 2021-08-11 Annual Report For Robert J. Berg, M.D., P.A.
Annual Report Filed 2020-06-16 Annual Report For Robert J. Berg, M.D., P.A.
Reinstatement Filed 2019-11-22 Reinstatement For Robert J. Berg, M.D., P.A.
Admin Dissolution Filed 2018-12-10 Admin Dissolution: AR
Notice to Dissolve/Revoke Filed 2018-09-07 Notice to Dissolve/Revoke
Annual Report Filed 2017-09-18 Annual Report For Robert J. Berg, M.D., P.A.

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Date of last update: 03 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website