Jack Alton Bergh MD

  • NPI 1376506394
According to our database, the NPI number for Jack Alton Bergh MD is 1376506394 and activated since 18 years ago. Jack Alton Bergh MD is an individual provider who specializes in Family Medicine, and the primary practice location is 1539 Dale Mabry Hwy Ste 102, Lutz, FL 33548. You can also contact Jack Alton Bergh MD via telephone number is (813) 909-7102. Provider NPI information was last updated on 01/08/2013.

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Overview of Jack Alton Bergh MD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 04/10/2006
  • Last updated: 01/08/2013

Primary Scrop of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: ME0056971
  • License State: FL

Provider Mailing Address

  • Address: 14743 Morning Dr
    Lutz, FL 33559
  • Phone: 813-975-4743
  • Fax:

Provider Practice Location

  • Address: 1539 Dale Mabry Hwy Ste 102
    Lutz, FL 33548
  • Phone: 813-909-7102
  • Fax: 813-909-0199

Scope of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: ME0056971
  • License State: FL
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 770008300
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: FL
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Jack Alton Bergh MD?
  • A: The npi number for Jack Alton Bergh MD is 1376506394.
  • Q: What are Jack Alton Bergh MD's specialties?
  • A: Jack Alton Bergh MD's specialties are Family Medicine and different specialities.
  • Q: What is the medical license for Jack Alton Bergh MD?
  • A: The medical license number for Jack Alton Bergh MD is ME0056971 and issued in FL in USA.
  • Q: Where is Jack Alton Bergh MD practice location?
  • A: Jack Alton Bergh MD is practicing at 1539 Dale Mabry Hwy Ste 102, Lutz, FL 33548.
  • Q: How to contact Jack Alton Bergh MD?
  • A: You can contact Jack Alton Bergh MD via 813-909-7102.