Individual
DR. BRAD Z. BERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11150 HIGHWAY 49N, GULFPORT, MS 39503
(228) 575-1000
(228) 575-2002
Mailing address
1501 LANSDOWNE AVE, DARBY, PA 19023-1333
(228) 575-1000
(228) 575-2002
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
036149810
IL
2084P0804X
Child & Adolescent Psychiatry Physician
21744
MS
2084P0804X
Child & Adolescent Psychiatry Physician
35068648
OH
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD468250
PA
2084P0804X
Child & Adolescent Psychiatry Physician
ME119188
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02456089
—
MS
Enumeration date
08/02/2006
Last updated
03/12/2024
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