JEFFREY PAUL BERGER M.D. NPI 1962409292

NPI Information

NPI: 1962409292
Provider Name: JEFFREY PAUL BERGER, M.D.
Classification: Internal Medicine - 207RA0401X
Entity Type: Individual

Specialization: Addiction Medicine

PECOS Registration: Yes

Address:
17940 FARMINGTON RD
SUITE 140
LIVONIA, MI
ZIP 48152
Phone: (734) 338-0600
Get Directions

Jeffrey Paul Berger, M.D. is an addiction medicine internal medicine in Livonia, MI with 47 years of experience. The provider is an internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. Jeffrey Paul Berger, M.D. NPI is 1962409292. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1977

The provider's business location address is:

17940 FARMINGTON RD
SUITE 140
LIVONIA, MI
ZIP 48152-157
Phone: (734) 338-0600
Fax: (734) 338-0601

The NPI 1962409292 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 7/1/2005 and was last updated on 1/12/2010.

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	207R00000X	Internal Medicine		4301041195	MICHIGAN	No
2	207RA0401X	Internal Medicine	Addiction Medicine	4301041195	MICHIGAN	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	136737	OTHER	MICHIGAN	CARE CHOICES
2	147145	OTHER	MICHIGAN	GREAT LAKES HEALTH PLAN
3	16126	OTHER	MICHIGAN	M'CARE
4	2135729	OTHER	MICHIGAN	FIRST HEALTH
5	665-2	OTHER	MICHIGAN	TOTAL HEALTH CARE
6	D92598	MEDICARE UPIN	MICHIGAN
7	080H215880	OTHER	MICHIGAN	BCBS & BCN
8	P00211584	OTHER	MICHIGAN	RAILROAD MEDICARE
9	4036582	OTHER	MICHIGAN	AETNA
10	ON800990 002	MEDICARE PIN	MICHIGAN
11	4520279	MEDICAID	MICHIGAN
12	4561440	MEDICAID	MICHIGAN

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

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