Fred Keith Berger, M.D.

Primary specialty

Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X

License

G33996 Issued in CA

Practice address

5317 Calle Vis
San Diego, CA 92109-1920

Phone

(619) 298-3251

Fax

(858) 488-8839

NPI assigned

Jul 10, 2006

Last updated

Jul 9, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: fberger80811@scrippshlth.medalliesdirect.net

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.

• Scripps Health

  dba Scripps Hospital Medical Services

  • General Acute Care Hospital
  • San Diego, CA
  • NPI 1487928891
  NPD
• The Bridges of San Diego, Inc.

  dba The Bridges of San Diego

  • Substance Abuse Rehabilitation Facility
  • La Mesa, CA
  • NPI 1548772007
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1508890021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5317 CALLE VIS",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921091920",
            "telephone_number": "619-298-3251",
            "fax_number": "858-488-8839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5317 CALLE VIS",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921091920",
            "telephone_number": "619-298-3251",
            "fax_number": "858-488-8839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGER",
        "first_name": "FRED",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "CA",
            "license": "G33996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophea Bergen, PA-C
• Ann Marie Berger-Finley, N.P.
• Beth Creager Berger, PH.D.
• Carolyn E Berger, PH.D.
• Chantal Berger, PT, DPT
• Joel Sheldon Berger, D.D.S.,M.D.
• John A Berger, M.D.
• Jonathan Henry Berger, M.D.
• Lauren Berger, RN
• Paulo Berger, MD

• Addiction Medicine (Psychiatry & Neurology) Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Addiction Medicine (Psychiatry & Neurology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; 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.