Doctor Name: | ERIK BERGER |
NPI Number: | 1003120502 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | TL-3680 |
Business Practice Address: | 300 Exempla Cir Suite 300 Lafayette, CO - 800263397 |
Business Phone Number: | 3036731300 |
Business Fax Number: | 3036896670 |
Mailing Address: | 500 Eldorado Blvd, Suite 6250 BROOMFIELD |
State: | CO |
Postal Code: | 800213408 |
Phone Number: | 3032720768 |
Fax Number: | 3033182488 |
NPI Enumeration Date: | 07/27/2010 |
NPI Last Update Date: | 09/05/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | TL-3680 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CO |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |