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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACK BERG MD & WILLIS-KNIGHTON MEDICAL CENTER

Active Organization

JACK BERG MD & WILLIS-KNIGHTON MEDICAL CENTER is a Family Medicine organization located in SHREVEPORT, Louisiana. NPI 1396785150 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · SHREVEPORT, LA

Registration Details

NPI Number
1396785150
Provider Type
Organization
NPI Issued
Jun 8, 2006 (20.159051800901 yrs)
Last Updated
Aug 22, 2020

Practice Information

Address
7813 YOUREE DR
SHREVEPORT, LA, 711055505
Browse LA providers · Browse ZIP 71105
Phone
3182123830
Fax
3182123835
Primary Specialty
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.