Robin Berger MD PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

329801-1205 Issued in UT

Legal business name

ROBIN BERGER MD PC

Practice address

640 E 700 S
Suite 1
St George, UT 84770-4023

Phone

(435) 673-7546

Fax

(435) 673-7554

NPI assigned

Feb 20, 2008

Last updated

Aug 18, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Robin Berger, MDNPI 1275557407

Title

Owner

Phone

(435) 673-7546

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robin Berger, MD

  • Procedural Dermatology Physician
  • St George, UT
  • NPI 1275557407
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282089600000",
    "number": "1164690467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911928",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847911928",
            "telephone_number": "435-652-9127",
            "fax_number": "435-674-7339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 E 700 S",
            "address_2": "SUITE 1",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847704023",
            "telephone_number": "435-673-7546",
            "fax_number": "435-673-7554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBIN BERGER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-20",
        "last_updated": "2010-08-18",
        "status": "A",
        "authorized_official_last_name": "BERGER",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-673-7546",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "UT",
            "license": "329801-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kortni Roberts
• Laura Roberts, RN
• Quentin Roberts
• Rachel Roberts
• Tyler Robertson, D.O.
• Kyle Robins, D.O.
• Aidan Elazar Robinson
• Amanda Courtney Robinson
• Amy D Robinson
• Angelena Robinson

• Dermatology Physician in St George, UT
• Providers in St George, UT by specialty
• Dermatology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.