Berg, William J

Berg, William J is an individual health care provider with primary practice located at 8040 Broadway St , Indianapolis IN 46240-2503. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Berg, William J can be contacted via phone (317) 251-5217.

Contact Information

Primary practice address
8040 Broadway St Indianapolis IN 46240-2503
Phone: (317) 251-5217
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01038228A Indiana
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 01038228A Indiana
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 01038228A Indiana

Profile Details

NPI number 1225009749
LBN Legal business name Berg, William J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2006
Last updated Jul 16th, 2024 - about 5 months 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 1225009749 NPPES
Indiana MEDICAID 100324080A

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