NPI

Frederick Ian Berg

This page is a copy of the public NPPES file.

Facts

Status
Active
Credential
D.O.
Type
Individual
Enumeration date
2010-07-13
Last updated
2026-08-07

Specialties

Licenses

License MI
L1783455
License MI
5101018622

Location

Practice location
1701 Gull Rd
City
Kalamazoo MI
Postal code
49048-1609
Phone
(269) 633-2510

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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