Provider Demographics
NPI:1518929819
Name:BEREC, LOUIS ALOJZ (MD)
Entity Type:Individual
Prefix:MR
First Name:LOUIS
Middle Name:ALOJZ
Last Name:BEREC
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 2048
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36652-2048
Mailing Address - Country:US
Mailing Address - Phone:251-432-4117
Mailing Address - Fax:251-964-4012
Practice Address - Street 1:1083 E RELHAM DR
Practice Address - Street 2:LOXLEY FAMILY MEDICAL CENTER
Practice Address - City:LOXLEY
Practice Address - State:AL
Practice Address - Zip Code:36551
Practice Address - Country:US
Practice Address - Phone:251-964-4011
Practice Address - Fax:251-964-4012
Is Sole Proprietor?:No
Enumeration Date:2006-04-04
Last Update Date:2008-01-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AL22526207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL0111860OtherUNITED HEALTHCARE
AL51507376OtherBCBS
AL51507381OtherBCBS
AL51507377OtherBCBS
AL51507372OtherBCBS
AL63141125Medicaid
AL51507384OtherBCBS
AL51507374OtherBCBS
AL51507382OtherBCBS
ALG12833OtherHEALTHSPRINGS OF ALABAMA
AL51507372OtherBCBS