IndividualActive
Jacob Berger, M.D.
NPI 1457413379 · Neurology Physician · Providence, RI
Provider details
- NPI number
- 1457413379
- Entity type
- Individual
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD12584 (RI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
830 Chalkstone Ave
Providence Va Medical Center, Dept of Neurology
Providence, RI 02908-4734
Phone: (401) 273-7100
Approximate (ZIP-level) locationGet directions
Mailing address
830 Chalkstone Ave
Providence, RI 02908-4734
Registry dates
- Enumerated
- 2006-12-15
- Last updated
- 2023-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.