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1730139155

NPI Code Detail

MEDICARE: ERICA L BERGER MD

MEDICARE: ERICA L 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	208000000X	Pediatrics Physician	2007-01367	NC

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	60276	OTHER	WI	DEAN HEALTH INSURANCE
4	3916284913A	OTHER	WI	JOHN DEERE
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730139155
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERICA L BERGER MD

Provider Business Mailing Address
First Line	:	PO BOX 60447
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28260-0447
Country	:	US
Telephone Number	:	704-316-2312
Fax Number	:	704-384-2316

Provider Business Practice Location Address
First Line	:	8110 HEALTHCARE LOOP
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28215-7069
Country	:	US
Telephone Number	:	704-384-2312
Fax Number	:	704-384-2316

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

Provider Enumeration Date	:	05/10/2006
Last Update Date	:	10/26/2020

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Directions to “ ERICA L BERGER MD” Practice Location

Language	Start Address	Practice Location

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