Jack L Berg
FAMILY MEDICAL CENTER


Address: 7813 Youree Dr, Shreveport, LA 71105-5505
Phone: 3182123830

Jack L Berg (NPI# 1639160021, PAC ID# 1850297573) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1639160021
PAC ID by PECOS 1850297573
Professional Enrollment ID I20031211000769
Full Name Jack L Berg
Organization Legal Name FAMILY MEDICAL CENTER
Address 7813 Youree Dr
Shreveport
LA 71105-5505
Phone Number 3182123830
Gender M
Credential MD
Medical School UNIVERSITY OF KANSAS SCHOOL OF MEDICINE
Graduation Year 1982
Primary Specialty FAMILY MEDICINE
Group Practice PAC ID 7214956044
Number of Group Practice Members 2
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
7813 Youree Dr, Shreveport, LA 71105-5505 3182123830 FAMILY MEDICAL CENTER

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PHCDRR_1 Immunization Registry Reporting %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %

Organization Information

Organization Legal Name FAMILY MEDICAL CENTER
Physicians 19

Physicians with the same organization

Name Specialty Organization Address
Hermilo Gonzalez Jr. Family Medicine Family Medical Center 497 W Lott St, Buffalo, WY 82834-1658
Chelsea H Puente Physician Assistant Family Medical Center 497 W Lott St, Buffalo, WY 82834-1658
Brian M Darnell Family Medicine Family Medical Center 497 W Lott St, Buffalo, WY 82834-1658
Traci D Darnell Physician Assistant Family Medical Center 497 W Lott St, Buffalo, WY 82834-1658
Jennifer Rice Family Medicine Family Medical Center 497 W Lott St, Buffalo, WY 82834-1658
Mark S Schueler Family Medicine Family Medical Center 497 W Lott St, Buffalo, WY 82834-1658
Lawrence Kirven Family Medicine Family Medical Center 497 W Lott St, Buffalo, WY 82834-1658
Angela L Knutson Physician Assistant Family Medical Center 497 W Lott St, Buffalo, WY 82834-1658
William B Taylor Diagnostic Radiology Family Medical Center 497 W Lott St, Buffalo, WY 82834-1658
Alyse Williams Family Medicine Family Medical Center 497 W Lott St, Buffalo, WY 82834-1658

Office Location

Street Address 7813 YOUREE DR
City SHREVEPORT
State LA
Zip 71105-5505

Physicians in the same location

Name Specialty Organization Address
David T Henry Family Practice Family Medical Center 7813 Youree Dr, Shreveport, LA 71105-5505

Physicians in the same zip code

Name Specialty Organization Address
Mairus T Mcfarland General Practice 3331 Youree Dr, Shreveport, LA 71105-2115
Suresh Kumar Neurology 3555 Youree Dr, Shreveport, LA 71105-2119
James S Harrold Jr. Psychiatry 2924 Knight St, Suite 434, Shreveport, LA 71105-2413
Kimberly D. Law Psychiatry 2924 Knight St, Suite 414, Shreveport, LA 71105-2415
Orlise M Aubrey Clinical Social Worker 2924 Knight St, Suite 414, Shreveport, LA 71105-2415
Tom Staats Clinical Psychologist Comprehensive Assessments, Inc 3010 Knight St, Shreveport, LA 71105-2541
Suzannah K York-crump Physical Therapy Studio P3 LLC 266 Ockley Dr, Shreveport, LA 71105-3025
Elizabeth M Hansen Physical Therapy Studio P3 LLC 266 Ockley Dr, Shreveport, LA 71105-3025
Carson S Holtzclaw Physician Assistant Urgent Care of Louisiana LLC 6841 Fern Ave, Suite 100, Shreveport, LA 71105-4175
Ayesha Tabassom Emergency Medicine Urgent Care of Louisiana LLC 6841 Fern Ave, Suite 100, Shreveport, LA 71105-4175
Find all physicians in zip 71105

Competitor

Search similar physicians

City SHREVEPORT
Zip Code 71105
Specialty FAMILY MEDICINE
City + Specialty SHREVEPORT + FAMILY MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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