Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Berg Vascular PC

Organization Vascular Surgery Physician · NPI 1073992715

Berg Vascular PC provides Vascular Surgery Physician services in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2015.

Licensed in
MI
In the registry since
2015
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

22101 Moross Rd
Detroit, MI 48236-2148 Not confirmed with CMS for 11 years — call before visiting
Phone: (313) 343-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 4301041478 (MI)

Record details

NPI number1073992715
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Berg — Owner · (586) 285-5783
NPI enumeratedMay 27, 2015
Last updated in NPPESJune 10, 2015
Mailing address29519 Harper Ave, Saint Clair Shores, MI 48081-1275

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