Provider Demographics
NPI:1407841745
Name:SILVERBERG, DAVID A (MD)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:A
Last Name:SILVERBERG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 36455
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89133-6455
Mailing Address - Country:US
Mailing Address - Phone:702-216-2670
Mailing Address - Fax:702-826-4845
Practice Address - Street 1:3196 S MARYLAND PARKWAY
Practice Address - Street 2:STE 112
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89109-2312
Practice Address - Country:US
Practice Address - Phone:702-216-2670
Practice Address - Fax:702-826-4845
Is Sole Proprietor?:No
Enumeration Date:2005-09-13
Last Update Date:2015-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV10914207X00000X, 207XX0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XX0801XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Trauma
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100503328Medicaid
NVV104221Medicare PIN
NV100503328Medicaid
V104220Medicare PIN