Berg, Derek
Berg, Derek is an individual health care provider with primary practice located at 100 Health Park Dr , Louisville CO 80027-9583. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Berg, Derek can be contacted via phone (303) 643-1159.Contact Information
Primary practice address
100 Health Park Dr
Louisville CO 80027-9583
Phone: (303) 643-1159
Fax: (720) 874-5886
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | OP00002020 | Washington |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | DR.0046255 | Colorado |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 46255 | Colorado |
Profile Details
| NPI number | 1194896969 |
|---|---|
| LBN Legal business name | Berg, Derek |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 13th, 2006 |
| Last updated | Jan 25th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194896969 | NPPES |
| Colorado | MEDICAID | 01677527 | |
| Colorado | MEDICAID | 8431363 |
Popular Providers
-
Ward, Emily K
382 S Arthur Ave , Louisville CO 80027-3094 -
Morrison, Bennett T
2901 Olney Sandy Spring Rd , Olney MD 20832-1521 -
Mandagere, Kelly Ann
892 W South Boulder Rd , Louisville CO 80027-2453 -
Wittman, William J
10 Bramblebush Park , Falmouth MA 02540-2325 -
Dowgiert, Jessica
90 Health Park Dr Ste 320 , Louisville CO 80027-9742 -
Green, Shari B
1010 Northern Blvd Ste 110, Great Neck NY 11021-5306 -
Kenny, Colin Michael
100 Health Park Dr , Louisville CO 80027-9583 -
Pop, Stefan Cristian
100 Health Park Dr , Louisville CO 80027-9583