DR. MARC STUART BERGER M.D.C.M. NPI 1861596058

NPI Information

  • NPI: 1861596058
  • Provider Name: DR. MARC STUART BERGER, M.D.,C.M.
  • Classification: Family Medicine - 207QG0300X
  • Specialization: Geriatric Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4200 W CYPRESS ST STE 690
    TAMPA, FL
    ZIP 33607
  • Phone: (813) 877-2200

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NPI Details

DR. Marc Stuart Berger, M.D.,C.M. is a geriatric medicine family medicine in Tampa, FL with 44 years of experience. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. DR. Marc Stuart Berger, M.D.,C.M. NPI is 1861596058. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4200 W CYPRESS ST STE 690
TAMPA, FL
ZIP 33607-112
Phone: (813) 877-2200

The NPI 1861596058 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/11/2006 and was last updated on 8/22/2024.

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
1207Q00000XFamily Medicine66567GEORGIANo
2207Q00000XFamily MedicineME-81929FLORIDANo
3207QG0300XFamily MedicineGeriatric Medicine66567GEORGIANo
4207Q00000XFamily MedicineFTP 45348TEXASNo
5207QG0300XFamily MedicineGeriatric MedicineR0996TEXASNo
6207QH0002XFamily MedicineHospice and Palliative MedicineME81929FLORIDANo
7207QG0300XFamily MedicineGeriatric MedicineME-81929FLORIDAYes

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
137771OTHERFLORIDAFL BLUE SHIELD
2356072401MEDICAIDTEXAS
3ME 81929OTHERFLORIDAFLORIDA MEDICAL LICENSE
4003113557AMEDICAIDGEORGIA
566567OTHERGEORGIAGEORGIA MEDICAL LICENSE
6R0996OTHERTEXASMEDICAL LICENSE TX
7263050800MEDICAIDFLORIDA
8356072402OTHERTEXASMEDICAID-CSHCN

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: 11/21/2025

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