BERG VASCULAR PC
NPI 1073992715
Surgery - Vascular Surgery in Detroit, MI

Q: What is Berg Vascular PC's NPI number?

The NPI number for Berg Vascular PC is 1073992715. It was assigned to this organization in the NPPES registry on May 27, 2015.

Q: What is Berg Vascular PC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Q: When was this NPI record last updated?

The NPPES record for Berg Vascular PC was last updated on June 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 27, 2015

22101 MOROSS RD, DETROIT, MI 48236(313) 343-4000 Get Directions Write a Review

NPPES record last updated: June 10, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Berg Vascular Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BERG VASCULAR PC (NPI 1073992715) is a healthcare organization registered as a vascular surgery in Detroit, Michigan and active in the NPI registry since May 2015. The organization lists Richard Berg, Owner, as its authorized official.

NPPES Registry Identity

NPI1073992715

Entity TypeOrganization

Primary Taxonomy2086S0129X

Legal Business NameBERG VASCULAR PC

Location Address22101 MOROSS RDDetroit, MI 48236-2148

Mailing Address29519 Harper AveSaint Clair Shores, MI 48081-1275 · (586) 270-5100 · Fax (586) 270-5111

Phone(313) 343-4000

Organization SubpartNo

Authorized OfficialRichard BergOwner · (586) 285-5783

Enumeration DateMay 27, 2015

Last NPPES UpdateJune 10, 2015

✔ NPI 1073992715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

License✔ Licensed in MI · 4301041478

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

22101 MOROSS RD, Detroit, MI 48236

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARY DECAROLIS LMSW, ACSW

Social Worker (Clinical)