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Contact Information

BERKMAN O GORDON, MD
1609 N ANKENY BLVD
200
ANKENY, IA50023-4165
 Phone: 404-822-0871
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Nuclear Medicine

207U00000X 36 Physician/Nuclear Medicine
Indicates primary specialty

NPI Profile & details for BERKMAN O GORDON · (Male)

NPI Number 1619959269
Status Active
Credentials MD
Entity Individual
Enumeration date 11/18/2005
Last updated 06/23/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # 37815
  • IL License # 036.091223
  • IL License # 036091223
Hospital affiliation(s)
  • COMMUNITY MEMORIAL HOSPITAL - (Critical Access)
    400 CALDWELL
    STAUNTON, IL 62088
  • COMMUNITY MEMORIAL HOSPITAL - (Critical Access)
    400 CALDWELL
    STAUNTON, IL 62088
  • MASSAC MEMORIAL HOSPITAL - (Critical Access)
    28 CHICK STREET, PO BOX 850
    METROPOLIS, IL 62960
  • MASSAC MEMORIAL HOSPITAL - (Critical Access)
    28 CHICK STREET, PO BOX 850
    METROPOLIS, IL 62960
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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