Individual
DR. JEFFREY WILLIAM BERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1169 EASTERN PKWY STE 2211, LOUISVILLE, KY 40217-1444
(502) 635-2775
(502) 371-0475
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0328
(502) 371-0475
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
22581
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000112276
BC/BS
KY
01
—
050071439
MEDICARE RR
KY
01
—
164269100
DEPT OF LABOR
KY
01
—
2436583000
PASSPORT ADVANATGE
KY
01
—
4466067
AETNA
KY
05
—
64225816
—
KY
01
—
731879
FIRST HEALTH WORKMANS COM
KY
01
—
9237372003
CIGNA
KY
01
—
PASSPORT
PASSPORT
KY
Enumeration date
04/11/2006
Last updated
05/02/2025
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