MEDICARE: CENTER FOR HEALTH AND CANCER PREVENTION PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	0101032987	VA

General Provider Information

NPI Number	:	1467556043
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTER FOR HEALTH AND CANCER PREVENTION PC

Provider Business Mailing Address
First Line	:	1301 FIRST COLONIAL RD
Second Line	:	SUITE 201
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23454-2263
Country	:	US
Telephone Number	:	757-412-4919
Fax Number	:	757-412-4898

Provider Business Practice Location Address
First Line	:	1301 FIRST COLONIAL RD
Second Line	:	SUITE 201
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23454-2263
Country	:	US
Telephone Number	:	757-412-4919
Fax Number	:	757-412-4898

Authorized Official
Title or Position	:	CEO
Name	:	DR. KEITH EDWARD BERGER
Credential	:	M.D.
Telephone Number	:	757-412-4919

Provider Enumeration Date	:	09/12/2006
Last Update Date	:	02/10/2025

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