Individual
DR. WILLIAM J BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8040 BROADWAY ST, INDIANAPOLIS, IN 46240-2503
(317) 251-5217
Mailing address
8040 BROADWAY ST, INDIANAPOLIS, IN 46240-2503
(317) 251-5217
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01038228A
IN
207RC0000X
Cardiovascular Disease Physician
Primary
01038228A
IN
207RI0011X
Interventional Cardiology Physician
01038228A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100324080A
—
IN
Enumeration date
02/01/2006
Last updated
07/16/2024
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