MEDICARE: ERICKA LYNN BERGER MD

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	207Q00000X	Family Medicine Physician	MD460358	PA

General Provider Information

NPI Number	:	1942251871
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERICKA LYNN BERGER MD

Provider Business Mailing Address
First Line	:	PO BOX 9101
Second Line	:
City	:	COPPELL
State	:	TX
Zip	:	75019-9494
Country	:	US
Telephone Number	:	972-745-7500
Fax Number	:	972-745-4336

Provider Business Practice Location Address
First Line	:	446 N READING RD
Second Line	:
City	:	EPHRATA
State	:	PA
Zip	:	17522-9802
Country	:	US
Telephone Number	:	717-738-5275
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/15/2006
Last Update Date	:	07/21/2022

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