MEDICARE: JAMES G BERBEE 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	207P00000X	Emergency Medicine Physician	59964-20	WI

General Provider Information

NPI Number	:	1720376015
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES G BERBEE M.D.

Provider Business Mailing Address
First Line	:	3534 LAKE MENDOTA DR
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53705-1473
Country	:	US
Telephone Number	:	608-628-5540
Fax Number	:

Provider Business Practice Location Address
First Line	:	3534 LAKE MENDOTA DR
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53705-1473
Country	:	US
Telephone Number	:	608-628-5540
Fax Number	:

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

Provider Enumeration Date	:	07/20/2011
Last Update Date	:	05/08/2014

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