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Contact Information

DR. GARY BERGER, PA
5701 W 119TH ST
SUITE 116
OVERLAND PARK, KS66209-3722
 Phone: 913-339-9550
 Fax: 913-339-9679
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for DR. GARY BERGER, PA

NPI # 1124004551
LBN Legal business name DR. GARY BERGER, PA
Authorized official GARY BERGER - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/18/2005
Last updated 04/10/2012 - About 14 years ago
Identifiers
KS License # 0524221
Other 18688071 BC/BS OF KC
Other P00060824 RAILROAD MEDICARE
Other 220400900 US DEPT OF LABOR
KS Other 458375 BC OF KS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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