Search › Louisiana › 207Q00000X
Jack Berg, MD
NPI 1639160021 · on the registry since 2005
Practice
- Address
- 7813 Youree Dr
Shreveport, LA 71105 - Phone
- (318) 212-3830
- Fax
- (318) 212-3835
- Organisation at this address
- Geriatric Medical Corporation
Universal Geriatric Medicine Consultants
Jack Berg Md & Willis-Knighton Medical Center
Wk Pierremont Associates In Internal MedicineInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-06-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana