Berg, Brian William
Berg, Brian William is an sole proprietor health care provider with primary practice located at 5121 S Cottonwood St , Salt Lake City UT 84107-5701. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Berg, Brian William can be contacted via phone (801) 507-7000.Contact Information
Primary practice address
5121 S Cottonwood St
Salt Lake City UT 84107-5701
Phone: (801) 507-7000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MT213910 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 13154894-1205 | Utah |
Profile Details
| NPI number | 1083143564 |
|---|---|
| LBN Legal business name | Berg, Brian William |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 8th, 2017 |
| Last updated | Jan 30th, 2023 - about 2 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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