Individual
DEREK BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
100 HEALTH PARK DR, LOUISVILLE, CO 80027-9583
(303) 643-1159
(720) 874-5886
Mailing address
100 HEALTH PARK DR, LOUISVILLE, CO 80027-9583
(303) 643-1159
(720) 874-5886
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DR.0046255
CO
207R00000X
Internal Medicine Physician
OP00002020
WA
208M00000X
Hospitalist Physician
DR.0046255
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01677527
—
CO
05
—
8431363
—
WA
Enumeration date
11/13/2006
Last updated
03/28/2025
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