Individual
JEFFREY J BERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1120 FIRST COLONIAL RD, SUITE 203, VIRGINIA BEACH, VA 23454-2418
(757) 481-4424
(757) 481-3820
Mailing address
PO BOX 7068, PORTSMOUTH, VA 23707-0068
(757) 481-4424
(757) 481-3820
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101044311
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007301871
—
VA
01
—
020022377
RAILROAD MEDICARE
—
01
—
053028
ANTHEM
—
01
—
1700213
UNITED HEALTHCARE
—
01
—
212580
CIGNA
—
01
—
221909
MAMSI
—
01
—
35054
OPTIMA HEALTH PLAN
—
01
—
4498701
AETNA
—
01
—
5784156
GHI
—
05
—
890512L
—
NC
Enumeration date
06/06/2006
Last updated
01/04/2017
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