Robert M Berger, MD

Primary specialty

Urology Registered NurseTaxonomy code 163WU0100X

License

0101032497 Issued in VA

Practice address

12011 Lee Jackson Memorial Hwy
2ND Floor
Fairfax, VA 22033-4512

Phone

(703) 383-5400

Fax

(703) 383-5547

NPI assigned

Dec 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982764502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP",
            "address_2": "2101 EAST JEFFERSON STREET",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524908",
            "telephone_number": "301-816-6660",
            "fax_number": "301-816-6308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12011 LEE JACKSON MEMORIAL HWY",
            "address_2": "2ND FLOOR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220334512",
            "telephone_number": "703-383-5400",
            "fax_number": "703-383-5547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGER",
        "first_name": "ROBERT",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WU0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Urology",
            "state": "MD",
            "license": "D22142",
            "primary": false
        },
        {
            "code": "163WU0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Urology",
            "state": "VA",
            "license": "0101032497",
            "primary": true
        },
        {
            "code": "163WU0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Urology",
            "state": "DC",
            "license": "MD31255",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Berch, CRNA
• Grace Berczel, PHARMD
• Elizabeth Ann Berendt, PSY.D.
• Alyssa Berg, MA, CCC-SLP
• Tracy Marvin Berg III, LMT
• Shelby Berger, LCSW
• Sharlene Bergeron, BCBA
• Karen Ann Bergin, LCSW
• Frank Berkowitz, MD
• Jessica Berkowitz

• Registered Nurse in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Registered Nurse in Virginia

• 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.

Verify at the official NPI Registry.