NPI 1780449322 · live from the CMS NPI Registry
Katja Jean Berge
Physician Assistant in Fargo, ND. National Provider Identifier 1780449322, active.
NPI record
| NPI | 1780449322 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 2400 32nd Ave S, Fargo, ND 58103 |
| Practice phone | 701-234-2000 |
| Mailing address | Po Box 5074, Sioux Falls, SD 57117 |
| Enumerated | February 13, 2024 |
| Last updated | November 11, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Physician Assistant primary | 363A00000X | PAC1090 (ND) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.