MEDICARE: DR. JAMES ROBERT BERGH 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	2085R0202X	Diagnostic Radiology Physician	4012-320	WI
2	2085R0202X	Diagnostic Radiology Physician	100271	MO
3	2085R0202X	Diagnostic Radiology Physician	04-21091	KS

General Provider Information

NPI Number	:	1831194901
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES ROBERT BERGH MD

Provider Business Mailing Address
First Line	:	8000 W 110TH ST STE 150
Second Line	:
City	:	OVERLAND PARK
State	:	KS
Zip	:	66210-2382
Country	:	US
Telephone Number	:	913-599-6777
Fax Number	:	913-599-3955

Provider Business Practice Location Address
First Line	:	1000 CARONDELET DR
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64114-4673
Country	:	US
Telephone Number	:	913-943-2271
Fax Number	:

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

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	07/31/2025

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