Basic Information
| Provider Information | |||||||||
| NPI: | 1003120502 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BERGER | ||||||||
| FirstName: | ERIK | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 500 ELDORADO BLVD | ||||||||
| Address2: | SUITE 6250 | ||||||||
| City: | BROOMFIELD | ||||||||
| State: | CO | ||||||||
| PostalCode: | 800213408 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3032720768 | ||||||||
| FaxNumber: | 3033182488 | ||||||||
| Practice Location | |||||||||
| Address1: | 300 EXEMPLA CIR | ||||||||
| Address2: | SUITE 300 | ||||||||
| City: | LAFAYETTE | ||||||||
| State: | CO | ||||||||
| PostalCode: | 800263397 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3036731300 | ||||||||
| FaxNumber: | 3036896670 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/27/2010 | ||||||||
| LastUpdateDate: | 09/10/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | TL-3680 | CO | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 207R00000X | DR0054273 | CO | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RS0010X | 0054273 | CO | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Sports Medicine |
No ID Information.