SETH A. BERL MD NPI 1740469352

NPI Information

  • NPI: 1740469352
  • Provider Name: SETH A. BERL, MD
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Organization
  • Address: 9 HOSPITAL PARK
    MOULTRIE, GA
    ZIP 31768
  • Phone: (229) 890-1442

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NPI Details

SETH A. BERL, MD is a medical physician assistant in Moultrie, GA. SETH A. BERL, MD NPI is 1740469352. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9 HOSPITAL PARK
MOULTRIE, GA
ZIP 31768-772
Phone: (229) 890-1442
Fax: (229) 890-0782

The provider's authorized official is Diane M Sikes .
The authorized official title is Practice Manager and has the following contact phone number (229) 890-1442.

The enumeration date for this NPI number is 10/31/2007 and was last updated on 11/8/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedical024390GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000253646DMEDICAIDGEORGIA
2GRP3670MEDICARE PIN
3D39396MEDICARE UPIN
4GRP3670MEDICARE PINGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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