Scott R Berger MD

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

Legal business name

SCOTT R BERGER MD

Practice address

14 Quarry St
Willimantic, CT 06226-1232

Phone

(860) 456-0524

NPI assigned

Aug 23, 2007

Last updated

Mar 5, 2008By 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

Scott R Berger

Title

Owner

Phone

(860) 456-0524

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1336332394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6300",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029406300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 QUARRY ST",
            "city": "WILLIMANTIC",
            "state": "CT",
            "postal_code": "062261232",
            "telephone_number": "860-456-0524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT R BERGER MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-23",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "BERGER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-456-0524"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karla Renee Scanlon, DPM
• Michael James Scanlon, DPM
• Stephen F. Scarangella, M.D.
• Beth Ann Schramm, O.D.
• Marlene Schwartz, M.D.
• Ann Lillian Semolic, M.D.
• Zoe Ekaterini Sernyak, MSW
• Diane Servedio, RPH
• Gregory L Shangold, MD
• Pankaj Sharma

• Geriatric Medicine (Internal Medicine) Physician in Willimantic, CT
• Providers in Willimantic, CT by specialty
• Geriatric Medicine (Internal Medicine) Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.