NPI Lookup
NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

JOHN P BERGER, DO
3100 KENNARD ST
SUITE 250
MAPLEWOOD, MN55109-5465
 Phone: 651-471-1166
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JOHN P BERGER · (Male)

NPI Number 1003014911
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 07/03/2007
Last updated 09/04/2015 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IA License # 4095
  • MN License # 54798
  • NE License # 675
Hospital affiliation(s)
  • HEALTHEAST ST JOHN'S HOSPITAL - (Acute Care)
    1575 BEAM AVENUE
    MAPLEWOOD, MN 55109
  • HEALTHEAST WOODWINDS HOSPITAL - (Acute Care)
    1925 WOODWINDS DRIVE
    WOODBURY, MN 55125
  • ST JOSEPH'S HOSPITAL - (Acute Care)
    45 WEST 10TH STREET
    SAINT PAUL, MN 55102
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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