Individual
DR. SAMUEL WILLIAM BERG II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3130 VICTORIA BLVD, HAMPTON, VA 23661-1544
(757) 315-3763
(757) 727-1185
Mailing address
3130 VICTORIA BLVD, HAMPTON, VA 23661-1544
(757) 315-3763
(757) 727-1185
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101054512
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004975014
—
VA
01
—
089265
ANTHEM
VA
01
—
47211
SENTARA HEALTH
VA
01
—
4975014
VIRGINIA PREMIER
VA
Enumeration date
03/10/2006
Last updated
09/19/2008
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