Jeffrey William Berg in Louisville - Interventional Pain Medicine
Jeffrey William Berg - NPI 1376506022
Jeffrey William Berg is a Interventional Pain Medicine in Louisville, Kentucky. Jeffrey William Berg practices all healthcare services and medical treatments related to Interventional Pain Medicine. The NPI Number for Jeffrey William Berg is 1376506022. The last update date is 2011-03-03.
Jeffrey William Berg's current location address is 1169 Eastern Pkwy, Louisville, Kentucky. You can contact this provider via phone number 5026352775 and fax number 5023710475. The mailing address for Jeffrey William Berg is 1169 Eastern Pkwy, Louisville, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey William Berg |
|---|---|
| Address | 1169 Eastern Pkwy, Louisville, Kentucky |
| Phone Number | 5026352775 |
| Fax Number | 5023710475 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1376506022 |
|---|---|
| Provider Enumeration Date | 2006-04-11 |
| Last Updated Date | 2011-03-03 |
Provider Mailing Address Detail
| Address | 1169 Eastern Pkwy |
|---|---|
| City | Louisville |
| State | Kentucky (KY) |
| Post Code | 402171444 |
| Phone Number | 5026352775 |
| Fax Number | 5023710475 |
Provider's Primary Taxonomy Detail
| Speciality | Interventional Pain Medicine |
|---|---|
| Taxonomy | 208Vp0014X |
| Licence No | 22581 |
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Definition: Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable p |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 50071439 | KY | MEDICARE RR | |
| 164269100 | KY | DEPT OF LABOR | |
| 4466067 | KY | AETNA | |
| 731879 | KY | FIRST HEALTH WORKMANS COM | |
| 9237372003 | KY | CIGNA | |
| PASSPORT | KY | PASSPORT | |
| 112276 | KY | BC/BS | |
| 2436583000 | KY | PASSPORT ADVANATGE | |
| 64225816 | KY | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jeffrey William Berg by the Centers for Medicare & Medicaid Services?
The Jeffrey William Berg has been assigned the NPI (National Provider Identifier) 1376506022. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jeffrey William Berg?
The Jeffrey William Berg is situated at 1169 Eastern Pkwy, in the city of Louisville, state of KY, with the zip code 402171444.
What is the Jeffrey William Berg's specialty and taxonomy code?
The Jeffrey William Berg's specialty is Interventional Pain Medicine, and the corresponding taxonomy code is 208Vp0014X.
On what date did Jeffrey William Berg receive its 1376506022 assignment from the Centers for Medicare & Medicaid Services?
The Jeffrey William Berg was assigned its 1376506022 on 2006-04-11, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Jeffrey William Berg, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jeffrey William Berg, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-03-03.