Individual provider Active NPI

Kurt V Berger, MD

  • Diagnostic Radiology Physician
  • Nashville, TN
National Provider Identifier
1487638185
Registry record updated Jun 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
19568 Issued in TN
Practice address
210 25TH Ave N Ste 602
Nashville, TN 37203
Phone
(615) 312-0600
Fax
(615) 320-3259
NPI assigned
Dec 6, 2005
Last updated
Jun 27, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2018

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 19568 TN Primary

Addresses

Primary practice location

210 25TH Ave N Ste 602
Nashville, TN 37203

Mailing address

210 25TH Ave N
Ste 602
Nashville, TN 37203-1606
Phone (615) 312-0600

Other identifiers 6

IdentifierTypeStateIssuer
64795305MedicaidKY
3044342MedicaidTN
3721492MedicaidTN
3868773MedicaidTN
1508942MedicaidTN
371857MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20040402000718 TN Practitioner - Diagnostic Radiology 0143212647 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19568TNMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Oncology,PLLC Diagnostic Radiology CurrentSince Dec 2, 2002 Accepting new patients
Imaging Alliance Nashville Pet LLC CurrentSince Nov 1, 2003 Accepting new patients
Tennessee Oncology PLLC Diagnostic Radiology CurrentSince Dec 2, 2002 Accepting new patients
Tennessee Oncology, PLLC Diagnostic Radiology Past Accepting new patients

Locations

2018 Murphy Ave
Nashville, TN 37203
Phone (615) 320-7387

2018 Murphy Ave
Ste 200
Nashville, TN 37203
Phone (615) 320-7387

210 25th Ave N
Ste 1204
Nashville, TN 37203
Phone (615) 312-1479

210 25th Ave N
Ste 602
Nashville, TN 37203
Phone (615) 312-0604

322 22nd Ave N
Ste 140
Nashville, TN 37203
Phone (615) 320-5090

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530057600000",
    "number": "1487638185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 25TH AVE N",
            "address_2": "STE 602",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031606",
            "telephone_number": "615-312-0600",
            "fax_number": "615-320-3259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 25TH AVE N STE 602",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37203",
            "telephone_number": "615-312-0600",
            "fax_number": "615-320-3259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGER",
        "first_name": "KURT",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2018-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "19568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64795305",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3044342",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3721492",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3868773",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508942",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "371857",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.