Matthew  D  Berke    MD
Contract Details
OrthoSports Associates--Birmingham-St. Vincent's East
Facility name
Provider ID
P000000126
NPI
1841268885
Tax ID
275501752
Effective Date
12/13/2022
Last Updated
1/5/2023
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_508
Location Details
Address
48 Medical Park East Drive Suite 255
Birmingham, AL 35235
United States
County
Jefferson
Phone
2059390447 (Phone)
Billing Details
Address
48 Medical Park East Drive
Suite 255
Birmingham, AL 35235
Billing Phone
2059390447
Specialty Type
Physical Medicine & Rehabilitation
Map
Address