Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jack L. Berg, MD

Individual provider Family Medicine Physician · NPI 1639160021

Jack L. Berg, MD is a Family Practice in Shreveport, Louisiana. Graduated from University of Kansas School of Med (KC/WICH/SAL) in 1982, 44 years ago. Practices with Family Medical Center, a 2-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
44
Trained at
University of Kansas School of Med (KC/WICH/SAL)
Licensed in
LA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

7813 Youree Dr
Shreveport, LA 71105-5505
Phone: (318) 212-3830
Fax: (318) 212-3835
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 15000R (LA)

Record details

NPI number1639160021
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 3, 2005
Last updated in NPPESJune 17, 2021
Certification dateJune 17, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated 1982 (44 years in practice)
Group practice Family Medical Center — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Shreveport