Organization Active NPI

Brian D. Berger, MD, PA

  • Therapeutic Radiology Physician
  • San Mateo, CA
National Provider Identifier
1487811824
Registry record updated Jun 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Therapeutic Radiology PhysicianTaxonomy code 2085R0203X
License
L2135 Issued in TX
Legal business name
BRIAN D. BERGER, MD, PA
Practice address
1341 David St
#111
San Mateo, CA 94403-1916
Phone
(650) 391-6707
NPI assigned
May 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2013

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

Authorized official

Name
Dr. Brian David Berger, MD
Title
President
Phone
(650) 391-6707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Therapeutic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0203X L2135 TX Primary

Addresses

Primary practice location

1341 David St
#111
San Mateo, CA 94403-1916

Mailing address

1341 David St
#111
San Mateo, CA 94403-1916
Phone (650) 391-6707

National Provider Directory

National Provider Directory

Locations

2633 McKinney Ave
Ste 130504
Dallas, TX 75204
Phone (214) 991-8884

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371600000000",
    "number": "1487811824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1341 DAVID ST",
            "address_2": "#111",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944031916",
            "telephone_number": "650-391-6707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1341 DAVID ST",
            "address_2": "#111",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944031916",
            "telephone_number": "650-391-6707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN D. BERGER, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2013-06-19",
        "status": "A",
        "authorized_official_last_name": "BERGER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-391-6707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0203X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "TX",
            "license": "L2135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.

Verify at the official NPI Registry.