JEFFREY J BERGER M.D. NPI 1235178955

NPI Information

NPI: 1235178955
Provider Name: JEFFREY J BERGER, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1120 FIRST COLONIAL RD
SUITE 203
VIRGINIA BEACH, VA
ZIP 23454
Phone: (757) 481-4424
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Jeffrey J Berger, M.D. is a specialist in Virginia Beach, VA with 35 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Jeffrey J Berger, M.D. NPI is 1235178955. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: EASTERN VIRGINIA MEDICAL SCHOOL
Graduation Year:1989

The provider's business location address is:

1120 FIRST COLONIAL RD
SUITE 203
VIRGINIA BEACH, VA
ZIP 23454-418
Phone: (757) 481-4424
Fax: (757) 481-3820

The NPI 1235178955 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 6/6/2006 and was last updated on 1/4/2017.

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	174400000X	Specialist		0101044311	VIRGINIA	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	1700213	OTHER		UNITED HEALTHCARE
2	020000577	MEDICARE PIN
3	4498701	OTHER		AETNA
4	E51018	MEDICARE UPIN
5	007301871	MEDICAID	VIRGINIA
6	212580	OTHER		CIGNA
7	221909	OTHER		MAMSI
8	020022377	OTHER		RAILROAD MEDICARE
9	053028	OTHER		ANTHEM
10	5784156	OTHER		GHI
11	35054	OTHER		OPTIMA HEALTH PLAN
12	890512L	MEDICAID	NORTH CAROLINA

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.

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