Individual
DR. CODY O BERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1424 W CENTURY AVE STE 202, BISMARCK, ND 58503-0917
(701) 258-7376
Mailing address
3404 HEARTWOOD DR SE, MANDAN, ND 58554-6233
(701) 258-7376
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
759
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13354
—
ND
01
—
BER25278
BLUE CROSS BLUE SHIELD
ND
Enumeration date
10/27/2006
Last updated
07/08/2007
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