Richard A. Berg in Shelby Township - Vascular Surgery

Richard A. Berg - NPI 1801883558

Richard A. Berg is a Vascular Surgery in Shelby Township, Michigan. Richard A. Berg practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Richard A. Berg is 1801883558. The last update date is 2016-02-08.

Richard A. Berg's current location address is 45640 Schoenherr Rd, Shelby Township, Michigan. You can contact this provider via phone number 5862474300 and fax number 5865326496. The mailing address for Richard A. Berg is 45640 Schoenherr Rd, Shelby Township, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Richard A. Berg
Address 45640 Schoenherr Rd, Shelby Township, Michigan
Phone Number 5862474300
Fax Number 5865326496
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1801883558
Provider Enumeration Date 2005-09-28
Last Updated Date 2016-02-08

Provider Mailing Address Detail

Address 45640 Schoenherr Rd
City Shelby Township
State Michigan (MI)
Post Code 483156033
Phone Number 5862474300
Fax Number 5865326496

Provider's Primary Taxonomy Detail

Speciality Vascular Surgery
Taxonomy 2086S0129X
Licence No 4301041478
Definition:
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1846920 MI --
020H21281 BCBSM

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FAQs about Richard A. Berg

What is the unique 10-digit identification code assigned to Richard A. Berg by the Centers for Medicare & Medicaid Services?

The Richard A. Berg has been issued the NPI (National Provider Identifier) 1801883558, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Richard A. Berg's physical address?

The Richard A. Berg is physically located at 45640 Schoenherr Rd, in the city of Shelby Township, MI, with the postal code 483156033.

What is the Richard A. Berg's area of specialization and corresponding taxonomy classification?

The Richard A. Berg's specialty field is Vascular Surgery, and it falls under the taxonomy code 2086S0129X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1801883558 to Richard A. Berg?

The Centers for Medicare & Medicaid Services originally issued the 1801883558 to Richard A. Berg on 2005-09-28.

As of what date was the information regarding Richard A. Berg, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Richard A. Berg, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-02-08.

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