Individual provider Active NPI

Neil J Berger, DO

  • Diagnostic Radiology Physician
  • Philadelphia, PA
National Provider Identifier
1376535997
Registry record updated Sep 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0S003296L Issued in PA
Practice address
1600 W Girard Ave
Philadelphia, PA 19130-1615
Phone
(215) 787-9000
Fax
(215) 787-2115
NPI assigned
Aug 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 0S003296L PA Primary

Addresses

Primary practice location

1600 W Girard Ave
Philadelphia, PA 19130-1615

Mailing address

801 W Girard Ave
Philadelphia, PA 19122-4212
Phone (215) 787-2000

Other practice location 1

2451 Grant Ave
Philadelphia, PA 19114-1031
Phone (215) 464-8050

Other practice location 2

380 N Oxford Valley Rd
Langhorne, PA 19047-8304
Phone (215) 949-5111

Other practice location 3

4900 Frankford Ave
Philadelphia, PA 19124-2618
Phone (215) 831-2063

Other practice location 4

10800 Knights Rd
Philadelphia, PA 19114-4200
Phone (215) 612-4811

Other practice location 5

10160 Bustleton Ave
Philadelphia, PA 19116-3749
Phone (215) 969-7374

Other identifiers 7

IdentifierTypeStateIssuer
0065587001OtherPAAMERICHOICE
300064534OtherPARR MEDICARE
8322OtherPABRAVO ELDER HEALTH
0057526000OtherPAINDEPENDENCE BLUE CROSS
15771OtherPAHEALTH PARTNERS
000655870MedicaidPA
1030343OtherPAKEYSTONE MERCY

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 Osteopathy

State licenses

LicenseStateTypeSpecialty
0S003296LPAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Diagnostic Medical Services Inc. Diagnostic Radiology Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568419200000",
    "number": "1376535997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W GIRARD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191224212",
            "telephone_number": "215-787-2000",
            "fax_number": "215-787-2115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W GIRARD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191301615",
            "telephone_number": "215-787-9000",
            "fax_number": "215-787-2115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2451 Grant Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191141031",
            "country_code": "US",
            "telephone_number": "215-464-8050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "380 N Oxford Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Langhorne",
            "state": "PA",
            "postal_code": "190478304",
            "country_code": "US",
            "telephone_number": "215-949-5111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4900 Frankford Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191242618",
            "country_code": "US",
            "telephone_number": "215-831-2063",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10800 Knights Rd",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191144200",
            "country_code": "US",
            "telephone_number": "215-612-4811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10160 Bustleton Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191163749",
            "country_code": "US",
            "telephone_number": "215-969-7374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERGER",
        "first_name": "NEIL",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2019-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "0S003296L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "0065587001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "300064534",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BRAVO ELDER HEALTH",
            "identifier": "8322",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "0057526000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "15771",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000655870",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "1030343",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2019; 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.