MEDICARE: PROGRESSIVEHEALTH OCC HEALTH LLC

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	261QX0100X	Occupational Medicine Clinic/Center
2	225400000X	Rehabilitation Practitioner

General Provider Information

NPI Number	:	1467655910
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROGRESSIVEHEALTH OCC HEALTH LLC

Provider Business Mailing Address
First Line	:	150 N ROSENBERGER AVE
Second Line	:
City	:	EVANSVILLE
State	:	IN
Zip	:	47712-6503
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4000 S TULIP TREE DR
Second Line	:
City	:	PRINCETON
State	:	IN
Zip	:	47670-2300
Country	:	US
Telephone Number	:	866-649-2678
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	KEITH BERSCH
Credential	:
Telephone Number	:	812-491-3856

Provider Enumeration Date	:	06/11/2007
Last Update Date	:	05/30/2025

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