Organization Active NPI

Nathan G. Berger, M.D.,P.a.

  • Gynecology Physician
  • Baltimore, MD
National Provider Identifier
1790062347
Registry record updated Nov 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
D23905 Issued in MD
Legal business name
NATHAN G. BERGER, M.D.,P.A.
Practice address
200 E 33Rd St
Suite 470
Baltimore, MD 21218-3322
Phone
(410) 554-2683
Fax
(410) 554-2900
NPI assigned
Nov 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2011

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

Authorized official

Name
Natahn G Berger, M.D.
Title
President
Phone
(410) 554-2683

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X D23905 MD Primary

Addresses

Primary practice location

200 E 33Rd St
Suite 470
Baltimore, MD 21218-3322

Mailing address

200 E 33Rd St
Suite 470
Baltimore, MD 21218-3322
Phone (410) 554-2683

Other identifiers 3

IdentifierTypeStateIssuer
015590OtherMDEHP
160006507MedicaidMD
39966805-1722OtherMDBCBS

Other names 1

  • Nathan G. Berger, M.D. Other name

National Provider Directory

National Provider Directory

Locations

200 E 33rd St
Ste 487
Baltimore, MD 21218
Phone (410) 554-2780

200 E 33rd St
#470
Baltimore, MD 21218
Phone (410) 554-2683

NPI Registry JSON

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

{
    "created_epoch": "1320883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320883200000",
    "number": "1790062347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E 33RD ST",
            "address_2": "SUITE 470",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212183322",
            "telephone_number": "410-554-2683",
            "fax_number": "410-554-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E 33RD ST",
            "address_2": "SUITE 470",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212183322",
            "telephone_number": "410-554-2683",
            "fax_number": "410-554-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATHAN G. BERGER, M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-10",
        "last_updated": "2011-11-10",
        "status": "A",
        "authorized_official_last_name": "BERGER",
        "authorized_official_first_name": "NATAHN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-554-2683",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "MD",
            "license": "D23905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EHP",
            "identifier": "015590",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160006507",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "39966805-1722",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nathan G. Berger, M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; 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.