JEFFREY PAUL BERGER


Address: 17940 Farmington Rd, Suite 140, Livonia, MI 48152-3157
Phone: 7343380600

JEFFREY PAUL BERGER (NPI# 1962409292) 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) 1962409292
Entity Type Individual
Full Name JEFFREY PAUL BERGER
Credential M.D.
Practice Address 17940 Farmington Rd
Suite 140
Livonia
MI 48152-3157
Practice Telephone 7343380600
Practice Fax Number 7343380601
Mailing Telephone 7343380600
Mailing Fax Number 7343380601
Enumeration Date 2005-07-01
Last Update Date 2010-01-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine 4301041195 MI Allopathic & Osteopathic Physicians
Y 207RA0401X Internal Medicine
Specialization: Addiction Medicine
4301041195 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI M'CARE 16126 01
MI RAILROAD MEDICARE P00211584 01
MI FIRST HEALTH 2135729 01
MI AETNA 4036582 01
MI 4520279 05
MI 4561440 05
MI TOTAL HEALTH CARE 665-2 01
MI BCBS & BCN 080H215880 01
MI CARE CHOICES 136737 01
MI GREAT LAKES HEALTH PLAN 147145 01

Other Providers JEFFREY BERGER

NPI Name Taxonomy Address Enumeration
1700018256 Jeffrey Berger Optometrist 5900 Keyes St Ste 101, Frederick, CO 80504-5956 2009-08-18
1992825459 Jeffrey Scott Berger Physical Medicine & Rehabilitation 1204 Baltimore Pike, Suite 100, Chadds Ford, PA 19317-7373 2007-03-29
1811036072 Jeffrey Ira Berger Dentist 17270 Hawthorne Blvd, Torrance, CA 90504-1032 2007-02-05
1518033232 Jeffrey Wayne Berger Dentist 19604 Highway 108, Sonora, CA 95370 2006-11-27
1063595569 Jeffrey H Berger Dentist 6239 Frankford Ave, Philadelphia, PA 19135-3404 2006-10-20
1174526941 Jeffrey N Berger Internal Medicine 1 Dakota Dr, Suite 310, New Hyde Park, NY 11042-1119 2005-05-24
1366899601 Jeffrey Berger Physical Therapist 1272 Garrison Dr, Suite 303, Murfreesboro, TN 37129-2598 2016-05-17
1427429968 Jeffrey Berger Jr. Specialist/Technologist 1221 S Clearview Pkwy, Jefferson, LA 70121-1011 2015-10-09
1912172701 Jeffrey S Berger Internal Medicine 530 1st Ave, Skirball 9r, New York, NY 10016-6402 2008-04-23
1588677207 Jeffrey A. Berger Psychologist 296 Amboy Ave, Metuchen, NJ 08840-2471 2006-08-14

Office Location

Street Address 17940 FARMINGTON RD
SUITE 140
City LIVONIA
State MI
Zip Code 48152-3157

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154966489 Michelle Marie Zmich Massage Therapist 17940 Farmington Rd, Livonia, MI 48152-4444 2019-11-11
1164996385 Laura Roell Psychologist 17940 Farmington Rd, Livonia, MI 48152-4444 2019-01-22
1750829263 Jennifer Page Crystal Counselor 17940 Farmington Rd, Livonia, MI 48152-4444 2017-02-03
1013331651 Patrick Murphy Psychologist 17940 Farmington Rd, Suite 280, Livonia, MI 48152-4444 2014-02-18
1164844890 Emily Nadis Silver Social Worker 17940 Farmington Rd, Livonia, MI 48152-4444 2014-01-15
1972932515 Jurgita Atanaskovski Psychologist 17940 Farmington Rd, Livonia, MI 48152-4444 2013-11-04
1356695134 Jennifer Seim-andrew Counselor 17940 Farmington Rd, Suite 225, Livonia, MI 48152 2012-11-01
1932456688 Basma Haddad Psychologist 17940 Farmington Rd, Livonia, MI 48152-4444 2012-08-13
1083986228 Angela Mary Pecsenye Counselor 17940 Farmington Rd, Livonia, MI 48152-4444 2012-02-03
1326319229 Randi Murav Social Worker 17940 Farmington Rd, Suite 280, Livonia, MI 48152-4444 2012-01-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326648171 Hillary Fitzsimmons Psyd Pllc Clinic/Center 19455 Weyhar St, Livonia, MI 48152 2020-10-30
1639780968 Goyanka Ranganathan Student in an Organized Health Care Education/Training Program Ipc Primary Care Internal Medicine, 37595 Seven Mile Road, Suite 340, Livonia, MI 48152 2020-08-11
1457988552 Adam Ouellette Student in an Organized Health Care Education/Training Program St. Joe's Outpatient Psychiatry and Counseling Center, 37595 Seven Mile Rd, Suite 230, Livonia, MI 48152 2020-03-26
1972006047 Genise Kerner Md PC Clinic/Center 37675 Pembrooke Ave, Livonia, MI 48152 2018-03-14
1205340593 Rafal Hamamh Dentist 37595 7 Mile Rd Ste 4450, Livonia, MI 48152 2017-11-22
1053830489 Felicia Cerise Reese Registered Nurse 17197 N. Laurel Park Drive, 555, Livonia, MI 48152 2017-09-18
1164943882 Muhammad Yasir Student in an Organized Health Care Education/Training Program 37595 Seven Mile Rd. #340, Livonia, MI 48152 2017-07-03
1184154544 St Mary Mercy Physician Practices Clinic/Center 39201 7 Mile Rd Bldg Room140, Livonia, MI 48152 2017-06-18
1912437518 Divonne Touch Clinic/Center 18298 Middlebelt, Liviona, MI 48152 2017-06-15
1861922445 Cheryl Lang Physical Therapist 17177 N Laurel Park Drive, Suite 417, Livonia, MI 48152 2017-06-15
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Taxonomy Information

Taxonomy Code 207RA0401X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Addiction Medicine

Taxonomy Definition

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.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033434253 Elizabeth Bulat Internal Medicine 37595 7 Mile Rd, # 240, Livonia, MI 48152-1003 2010-03-30

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1013367473 East & West Physicians PC Internal Medicine 20905 Greenfield Rd Ste 608, Southfield, MI 48075-5355 2016-06-16
1033445861 Ayad M George, Pllc Internal Medicine 2132 Cedar St, Holt, MI 48842-1458 2009-10-29
1588821433 West Michigan Addiction Consultants, PC Internal Medicine 3001 Fuller Ave Ne, Suite 1, Grand Rapids, MI 49505-3247 2008-05-19
1922108927 Rudy Jerome Vervaeke Internal Medicine 21420 Harper Ave, Suite 2, Saint Clair Shores, MI 48080-3607 2006-09-22
1730727850 Dearborn Pain Center Pllc Internal Medicine 624 E 9 Mile Rd, Hazel Park, MI 48030-1842 2019-12-19
1063069359 Faster Care Connor Creek, Pllc Internal Medicine 4777 E Outer Dr, Detroit, MI 48234-3241 2019-08-21
1356869572 America Recovery Center, Pllc Internal Medicine 20217 Ann Arbor Trl, Dearborn Heights, MI 48127-2692 2017-09-07
1356793954 Iha Health Services Corporation Internal Medicine 5333 Mcauley Dr Rm 5011, Ypsilanti, MI 48197-1003 2016-07-07
1770967226 Newhorizon Center LLC Internal Medicine 555 W Crosstown Pkwy, Suite 201, Kalamazoo, MI 49008-1999 2015-07-15
1942618228 Changes Internal Medicine 19940 Conant St, Detroit, MI 48234-1494 2014-07-30
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Competitor

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City LIVONIA
Zip Code 48152

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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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