Provider Demographics
NPI:1396721262
Name:BERGER, STEVEN T (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:T
Last Name:BERGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:275 BICENTENNIAL HWY STE 101
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01118-1965
Mailing Address - Country:US
Mailing Address - Phone:413-783-3100
Mailing Address - Fax:413-782-7998
Practice Address - Street 1:275 BICENTENNIAL HWY STE 101
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01118-1965
Practice Address - Country:US
Practice Address - Phone:413-783-3100
Practice Address - Fax:413-782-7998
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-21
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA75446207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA10550OtherHEALTH NEW ENGLAND
MA110050865AMedicaid
MAJ12046OtherBLUE SHIELD OF MASSACHUSE
CT010075446MAOtherBL.SHIELD OF CONNECTICUT
123632OtherUS HEALTHCARE
1293181OtherFALLON COMMUNITY H.P.
MA484198OtherCONNECTICARE
MA150659OtherHARVARD/PILGRIM
P1511086OtherOXFORD HEALTH PLAN
MA075446OtherTUFTS
4215983OtherAETNA
MA484198OtherCONNECTICARE
P1511086OtherOXFORD HEALTH PLAN
MAJ12046OtherBLUE SHIELD OF MASSACHUSE
1293181OtherFALLON COMMUNITY H.P.
MAJ12046OtherBLUE SHIELD OF MASSACHUSE
CT001372630Medicaid