Active NPI
Paul Dennis Berger, D.C.
- Chiropractor
- Bridgeport, MI
National Provider Identifier
1649295783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301009054
- Practice address
- 5905 W Rolling Hills Dr
Bridgeport, MI 48722-9656 - Phone
- (989) 777-8282
- Fax
- (989) 777-8680
- NPI assigned
- Jul 12, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301009054 | MI | Primary |
Addresses
Primary practice location
5905 W Rolling Hills Dr
Bridgeport, MI 48722-9656
Mailing address
1584 Vancouver Dr
Saginaw, MI 48638-4771
Phone (989) 791-3673
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2167 | OH | MD | Clinical Psychologist |
| 2301009054 | MI | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649295783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1584 VANCOUVER DR",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486384771",
"telephone_number": "989-791-3673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5905 W ROLLING HILLS DR",
"city": "BRIDGEPORT",
"state": "MI",
"postal_code": "487229656",
"telephone_number": "989-777-8282",
"fax_number": "989-777-8680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGER",
"first_name": "PAUL",
"middle_name": "DENNIS",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301009054",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bridgeport, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.