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 - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

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

DR. Marc Stuart Berger, M.D.,C.M. is a family medicine in Tampa, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. 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 4/27/2021.

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
1	207Q00000X	Family Medicine		ME-81929	FLORIDA	Yes
2	207Q00000X	Family Medicine		66567	GEORGIA	No
3	207Q00000X	Family Medicine		FTP 45348	TEXAS	No
4	207QG0300X	Family Medicine	Geriatric Medicine	R0996	TEXAS	No
5	207QG0300X	Family Medicine	Geriatric Medicine	ME-81929	FLORIDA	No
6	207QG0300X	Family Medicine	Geriatric Medicine	66567	GEORGIA	No
7	207QH0002X	Family Medicine	Hospice and Palliative Medicine	ME81929	FLORIDA	No

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
1	356072401	MEDICAID	TEXAS
2	ME 81929	OTHER	FLORIDA	FLORIDA MEDICAL LICENSE
3	66567	OTHER	GEORGIA	GEORGIA MEDICAL LICENSE
4	003113557A	MEDICAID	GEORGIA
5	263050800	MEDICAID	FLORIDA
6	356072402	OTHER	TEXAS	MEDICAID-CSHCN
7	37771	OTHER	FLORIDA	FL BLUE SHIELD
8	R0996	OTHER	TEXAS	MEDICAL LICENSE TX

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: 4/28/2024

NPI Synchronization or Removal

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