Provider Demographics
NPI:1881685394
Name:BERKEY, AARON JAMES (MD)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:JAMES
Last Name:BERKEY
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 1:1700 S COURT ST STE F
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93277-4931
Mailing Address - Country:US
Mailing Address - Phone:597-349-2445
Mailing Address - Fax:597-346-9325
Practice Address - Street 1:1700 S COURT ST STE F
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93277-4931
Practice Address - Country:US
Practice Address - Phone:597-349-2445
Practice Address - Fax:597-346-9325
Is Sole Proprietor?:No
Enumeration Date:2005-11-03
Last Update Date:2018-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA741632085R0202X
IN01059901A2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
INP00256648OtherRR MEDICARE
IN200512460Medicaid
IN200512460Medicaid
IN200512460Medicaid
INI44358Medicare UPIN