MEDICARE: DR. BARRY MATHEW BERGER M.D.

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	207ZC0500X	Cytopathology Physician	49024	MA
2	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	49024	MA

General Provider Information

NPI Number	:	1184627028
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BARRY MATHEW BERGER M.D.

Provider Business Mailing Address
First Line	:	40 CEDAR RD
Second Line	:
City	:	CHESTNUT HILL
State	:	MA
Zip	:	02467-2206
Country	:	US
Telephone Number	:	617-293-7738
Fax Number	:

Provider Business Practice Location Address
First Line	:	40 CEDAR RD
Second Line	:
City	:	CHESTNUT HILL
State	:	MA
Zip	:	02467-2206
Country	:	US
Telephone Number	:	617-293-7738
Fax Number	:

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

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	09/11/2025

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