Provider Demographics
NPI:1790953800
Name:BERLINGER, FREDERICK G (MD)
Entity Type:Individual
Prefix:
First Name:FREDERICK
Middle Name:G
Last Name:BERLINGER
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 1:127 E TRADE STREET
Mailing Address - Street 2:B100
Mailing Address - City:FOREST CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28043-3131
Mailing Address - Country:US
Mailing Address - Phone:828-245-0400
Mailing Address - Fax:828-247-9000
Practice Address - Street 1:127 E TRADE STREET
Practice Address - Street 2:B100
Practice Address - City:FOREST CITY
Practice Address - State:NC
Practice Address - Zip Code:28043-3131
Practice Address - Country:US
Practice Address - Phone:828-245-0400
Practice Address - Fax:828-247-9000
Is Sole Proprietor?:No
Enumeration Date:2008-02-12
Last Update Date:2008-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9801169207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
38367Medicare UPIN