MEDICARE: LOUIS JOHN BERGES JR. 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	207L00000X	Anesthesiology Physician	MD040148E	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1417952987
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LOUIS JOHN BERGES JR. MD

Provider Business Mailing Address
First Line	:	2 READS WAY
Second Line	:	SUITE# 201
City	:	NEW CASTLE
State	:	DE
Zip	:	19720-1630
Country	:	US
Telephone Number	:	302-709-4510
Fax Number	:	302-356-9304

Provider Business Practice Location Address
First Line	:	801 MIDDLEFORD RD
Second Line	:	NANTICOKE HOSPITAL
City	:	SEAFORD
State	:	DE
Zip	:	19973
Country	:	US
Telephone Number	:	302-629-6611
Fax Number	:	302-628-6359

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

Provider Enumeration Date	:	06/20/2005
Last Update Date	:	05/30/2018

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