DR. JACOB BERGER M.D. NPI 1457413379

NPI Information

NPI: 1457413379
Provider Name: DR. JACOB BERGER, M.D.
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

PECOS Registration: Yes

Address:
830 CHALKSTONE AVE
PROVIDENCE VA MEDICAL CENTER, DEPT OF NEUROLOGY
PROVIDENCE, RI
ZIP 02908
Phone: (401) 273-7100
Get Directions

DR. Jacob Berger, M.D. is a neurology psychiatry neurology in Providence, RI. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. DR. Jacob Berger, M.D. NPI is 1457413379. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

830 CHALKSTONE AVE
PROVIDENCE VA MEDICAL CENTER, DEPT OF NEUROLOGY
PROVIDENCE, RI
ZIP 02908-734
Phone: (401) 273-7100

The NPI 1457413379 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/15/2006 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0400X	Psychiatry & Neurology	Neurology	MD12584	RHODE ISLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	12584	OTHER	RHODE ISLAND	RI LICENSE
2	2575620	OTHER	NEW YORK	UHC
3	02682699	MEDICAID	NEW YORK
4	790791	OTHER	NEW YORK	MVP
5	P3628039	OTHER	NEW YORK	OXFORD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »