Organization
DR. GARY BERGER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY G BERGER DO (PRESIDENT)
(913) 339-9550
Entity
Organization
Contact information
Practice address
5701 W 119TH ST, SUITE 116, OVERLAND PARK, KS 66209-3722
(913) 339-9550
(913) 339-9679
Mailing address
5701 W 119TH ST, SUITE 116, OVERLAND PARK, KS 66209-3722
(913) 339-9550
(913) 339-9679
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0524221
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18688071
BC/BS OF KC
—
01
—
220400900
US DEPT OF LABOR
—
01
—
458375
BC OF KS
KS
01
—
P00060824
RAILROAD MEDICARE
—
Enumeration date
12/18/2005
Last updated
04/10/2012
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