BRIAN D. BERGER, MD, PA


Address: 1341 David St, #111, San Mateo, CA 94403-1916
Phone: 6503916707

BRIAN D. BERGER, MD, PA (NPI# 1487811824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487811824
Entity Type Organization
Organization Name BRIAN D. BERGER, MD, PA
Practice Address 1341 David St
#111
San Mateo
CA 94403-1916
Practice Telephone 6503916707
Mailing Telephone 6503916707
Enumeration Date 2008-05-22
Last Update Date 2013-06-19
Authorized Official Name DR. BRIAN DAVID BERGER (PRESIDENT)
Authorized Official Telephone 6503916707
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0203X Radiology
Specialization: Therapeutic Radiology
L2135 TX Allopathic & Osteopathic Physicians

Office Location

Street Address 1341 DAVID ST
#111
City SAN MATEO
State CA
Zip Code 94403-1916

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1477009033 Latifunisa Lilani Community Health Worker 2600 El Camino Real, San Mateo, CA 94403 2016-09-01
1881029874 Juan Carlos Friesen Licensed Vocational Nurse 2600 S. El Camino, Suite #200, San Mateo, CA 94403 2013-09-09
1619300423 Emily Rodda Nurse Practitioner 222 W. 39th Avenue, San Mateo Medical Center - Pediatric Clinic, San Mateo, CA 94403 2013-08-15
1619309549 Maria Lucila Echeverria-bustios Counselor 1911 Ivy St., San Mateo, CA 94403 2013-08-02
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Taxonomy Information

Taxonomy Code 2085R0203X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Therapeutic Radiology

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1831692243 Joseph Vernon Hodgkins Radiology 5901 E 7th St Bldg 165, Long Beach, CA 90822-5201 2018-03-12
1225296676 Dwight Raymond Stickney Radiology 5275 Ashby Ln, Granite Bay, CA 95746-9425 2008-06-01
1174664890 John Charles Clark Radiology 1325 Bambury Ct, Redding, CA 96001-1339 2007-02-08
1598837569 Clayton Chen Radiology 60mdg/sgqx, 101 Bodin Circle, Travis Afb, CA 94535-1800 2006-11-15
1861587727 Steve Byron Benak Jr. Radiology 7024 N. Park Ridge Court, Riverbank, CA 95367 2006-10-04
1609842392 Harvey S Frey Radiology 552 12th St, Santa Monica, CA 90402-2908 2006-02-23
1356322705 Florian H Ploch Radiology 1020 Nut Tree Rd, #190, Vacaville, CA 95687-4100 2005-11-10
1922091263 Victor G Schweitzer Radiology 2985 Sycamore Dr, Simi Valley, CA 93065-1201 2005-08-23
1528460334 Reinhard Wilhelm Schulte Radiology 9834 Genesee Ave, Suite 110, La Jolla, CA 92037-1223 2014-09-23
1659787596 Jay Gerard Tassin Radiology 675 Camino De Los Mares, Suite 400, San Clemente, CA 92673-2835 2014-07-10
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Competitor

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City SAN MATEO
Zip Code 94403

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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