Individual provider Active NPI

Carl Berger, MD

  • Psychiatry Physician
  • Philadelphia, PA
National Provider Identifier
1447376025
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD007397E Issued in PA
Practice address
301 S 8TH Street
Suite 2K Garfield Duncan Building
Philadelphia, PA 19106
Phone
(215) 829-3350
Fax
(215) 829-3601
NPI assigned
Mar 22, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD007397E PA Primary

Addresses

Primary practice location

301 S 8TH Street
Suite 2K Garfield Duncan Building
Philadelphia, PA 19106

Mailing address

301 S 8TH Street
Suite 2K Garfield Duncan Building
Philadelphia, PA 19106
Phone (215) 829-3350

Other identifiers 1

IdentifierTypeStateIssuer
024598OtherAPA MEMBER NO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051212000761 PA Practitioner - Psychiatry 4688695158 Practice locations: Philadelphia, PA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Perelman School of Med at the University of Pennsylvania, 1962
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

301 S 8TH St
Philadelphia, PA 19106-4000
Phone (215) 829-3350

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447376025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S 8TH STREET",
            "address_2": "SUITE 2K GARFIELD DUNCAN BUILDING",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19106",
            "telephone_number": "215-829-3350",
            "fax_number": "215-829-3601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S 8TH STREET",
            "address_2": "SUITE 2K GARFIELD DUNCAN BUILDING",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19106",
            "telephone_number": "215-829-3350",
            "fax_number": "215-829-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGER",
        "first_name": "CARL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD007397E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APA MEMBER NO",
            "identifier": "024598",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.