NPI 1457413379 · live from the CMS NPI Registry
Jacob Berger, M.D.
Psychiatry & Neurology, Neurology in Providence, RI. National Provider Identifier 1457413379, active.
NPI record
| NPI | 1457413379 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 830 Chalkstone Ave, Providence Va Medical Center, Dept Of Neurology, Providence, RI 02908 |
| Practice phone | 401-273-7100 |
| Enumerated | December 15, 2006 |
| Last updated | March 7, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology primary | 2084N0400X | MD12584 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.