Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 42601 | MN |
N | 111NI0900X | Internist | 42601 | MN |
N | 207RC0000X | Internist - Cardiovascular Disease | 42601 | MN |
Y | 207RI0011X | Interventional Cardiology | 42601 | MN |
NPI | 1104861350 |
---|---|
Provider Name | Dr. Alan Keith Berger |
First Address | Minneapolis, MN 55455 |
Second Address | Minneapolis, MN 55455 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2006 |
Last Update Date | 15/04/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0532846 | (05) | IA |
1024708 | PREFERRED ONE (01) | MN |
10387 | (05) | ND |
1052867 | ARAZ (01) | MN |
127912 | UCARE (01) | MN |
25-00021 | MEDICA PRIMARY (01) | MN |
25-00346 | MEDICA CHOICE (01) | MN |
34016800 | (05) | WI |
497450600 | (05) | MN |
7777470 | (05) | SD |
78R84BE | BCBS (01) | MN |
F35915 | (02) | MN |
HP31264 | HEALTHPARTNERS (01) | MN |