Berg, Brian

Berg, Brian is an individual health care provider with primary practice located at 1210 Crossfield Dr , Apopka FL 32703-1540. He recently has 2 registered licenses in different health care specialties including Emergency Medical Service Providers / Emergency Medical Technician, Basic, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is his primary health care specialty. Berg, Brian can be contacted via phone (407) 921-3968.

Contact Information

Primary practice address
1210 Crossfield Dr Apopka FL 32703-1540
Phone: (407) 921-3968
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Emergency Medical Technician, Basic 146N00000X EMT 539865 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 1874 Alabama

Profile Details

NPI number 1679989149
LBN Legal business name Berg, Brian
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2014
Last updated Jul 29th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679989149 NPPES
Florida Other E3033546 NREMT

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