Active NPI
Sally C Berger, M.D.
- Family Medicine Physician
- Denver, CO
National Provider Identifier
1306997135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 28321
- Practice address
- 1960 Ogden St
Ste 460
Denver, CO 80218-3666 - Phone
- (303) 318-2500
- Fax
- (303) 318-2575
- NPI assigned
- Jan 16, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 28321 | CO | Primary |
Addresses
Primary practice location
1960 Ogden St
Ste 460
Denver, CO 80218-3666
Mailing address
500 Eldorado Blvd Ste 6250
Broomfield, CO 80021-3421
Phone (303) 272-0768
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01283217 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28321 | CO | MD | Family Medicine Physician |
Interoperability endpoints
- sberger3761@direct.intermountainhealth.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387324800000",
"number": "1306997135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 ELDORADO BLVD STE 6250",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800213421",
"telephone_number": "303-272-0768",
"fax_number": "303-318-2488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1960 OGDEN ST",
"address_2": "STE 460",
"city": "DENVER",
"state": "CO",
"postal_code": "802183666",
"telephone_number": "303-318-2500",
"fax_number": "303-318-2575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGER",
"first_name": "SALLY",
"middle_name": "C",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-16",
"last_updated": "2013-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "28321",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01283217",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.