Individual
PHILLIP J SILBERBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-7105
(859) 323-2406
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
0101264122
VA
2085P0229X
Pediatric Radiology Physician
Primary
41802
KY
2085P0229X
Pediatric Radiology Physician
48202
KY
2085R0202X
Diagnostic Radiology Physician
01070185A
IN
2085R0202X
Diagnostic Radiology Physician
35099660
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000562240
ANTHEM KCR
KY
01
—
000023033J
HUMANA - KCR
KY
01
—
00533038
KY MEDICARE KCR
KY
05
—
200004310A
—
KS
05
—
200916310
—
IN
01
—
241171
MIDLANDS CHOICE
NE
01
—
3508257000
PASSPORT ADVTG-KCR
KY
01
—
35325
BCBS
NE
01
—
50018781
PASSPORT-KCR
KY
05
—
572107
—
IA
05
—
7100034780
—
KY
Enumeration date
11/18/2006
Last updated
08/23/2019
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