Jeffrey Paul Berger, M.D.

Primary specialty

Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X

License

4301041195 Issued in MI

Practice address

17940 Farmington Rd
Suite 140
Livonia, MI 48152-3157

Phone

(734) 338-0600

Fax

(734) 338-0601

NPI assigned

Jul 1, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 10

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Internal MedicineAlso: Addiction Medicine

Education

Wayne State University School of Medicine, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Henry Ford Health Brighton Center for RecoveryGroup PAC ID 2668466996, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Insight Hospital and Medical Center Coldwater Hospital, Coldwater, MI, CCN 230022
• Henry Ford Health Brighton Center for Recovery Hospital, Brighton, MI, CCN 230279

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Henry Ford Health Brighton Center for Recovery

  • Substance Abuse Rehabilitation Facility
  • Brighton, MI
  • NPI 1265527337
  Medicare reassignment Care Compare group NPD
• Guest House Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lake Orion, MI
  • NPI 1811601503
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Community Health Center of Branch County

  • General Acute Care Hospital
  • Coldwater, MI
  • NPI 1063471639
  Care Compare affiliation
• Henry Ford Health Brighton Center for Recovery

  • Substance Abuse Rehabilitation Facility
  • Brighton, MI
  • NPI 1265527337

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263254400000",
    "number": "1962409292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17940 FARMINGTON RD",
            "address_2": "SUITE 140",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523157",
            "telephone_number": "734-338-0600",
            "fax_number": "734-338-0601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17940 FARMINGTON RD",
            "address_2": "SUITE 140",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523157",
            "telephone_number": "734-338-0600",
            "fax_number": "734-338-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGER",
        "first_name": "JEFFREY",
        "middle_name": "PAUL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2010-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301041195",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "MI",
            "license": "4301041195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS & BCN",
            "identifier": "080H215880",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "M'CARE",
            "identifier": "16126",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE CHOICES",
            "identifier": "136737",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT LAKES HEALTH PLAN",
            "identifier": "147145",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TOTAL HEALTH CARE",
            "identifier": "665-2",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4036582",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4520279",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "2135729",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00211584",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4561440",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mikaila Bennett
• Rebecca A Bennett
• Zhela Bennett, LPC
• Alyssa Benvenuti
• Lisa Michelle Berg, MA, CCC-SLP
• Barbara Bergeski, P.A.
• Sarah Elizabeth Bergholtz, MD, MPH
• Angela Bergsma, LLMSW
• Martin B Berman, M.D.
• Alberto J Bermudez, CCP

• Addiction Medicine (Internal Medicine) Physician in Livonia, MI
• Providers in Livonia, MI by specialty
• Addiction Medicine (Internal Medicine) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.