Jack A Bergh (NPI# 1376506394, PAC ID# 8224090709) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1376506394 |
| PAC ID by PECOS | 8224090709 |
| Professional Enrollment ID | I20041027000814 |
| Full Name | Jack A Bergh |
| Address |
1539 Dale Mabry Hwy Suite 102 Lutz FL 33548-3008 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MIAMI SCHOOL OF MEDICINE |
| Graduation Year | 1988 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1539 Dale Mabry Hwy, Suite 102, Lutz, FL 33548-3008 |
| Street Address |
1539 DALE MABRY HWY SUITE 102 |
| City | LUTZ |
| State | FL |
| Zip | 33548-3008 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Anthony Loguidice Sr. | Emergency Medicine | Lettuce Lake Emergency Physicians LLC | 1430 Dale Mabry Hwy, Lutz, FL 33548-3007 |
| Matthew Cotton Betteridge | Emergency Medicine | Lettuce Lake Emergency Physicians LLC | 1430 Dale Mabry Hwy, Lutz, FL 33548-3007 |
| Jennifer D Nuss | Emergency Medicine | Lettuce Lake Emergency Physicians LLC | 1430 Dale Mabry Hwy, Lutz, FL 33548-3007 |
| Stephanie Karen Wood | Emergency Medicine | Lettuce Lake Emergency Physicians LLC | 1430 Dale Mabry Hwy, Lutz, FL 33548-3007 |
| Caterina N Rovoletto | Emergency Medicine | Lettuce Lake Emergency Physicians LLC | 1430 Dale Mabry Hwy, Lutz, FL 33548-3007 |
| Michael A Borunda | Emergency Medicine | Lettuce Lake Emergency Physicians LLC | 1430 Dale Mabry Hwy, Lutz, FL 33548-3007 |
| Glaymar Z Dominguez | Emergency Medicine | Lettuce Lake Emergency Physicians LLC | 1430 Dale Mabry Hwy, Lutz, FL 33548-3007 |
| Michael J Christian | Emergency Medicine | Lettuce Lake Emergency Physicians LLC | 1430 Dale Mabry Hwy, Lutz, FL 33548-3007 |
| Julie-lee Morales | Family Medicine | Lettuce Lake Emergency Physicians LLC | 1430 Dale Mabry Hwy, Lutz, FL 33548-3007 |
| Fernando M Batista Morales | Emergency Medicine | Lettuce Lake Emergency Physicians LLC | 1430 Dale Mabry Hwy, Lutz, FL 33548-3007 |
| Find all physicians in zip 33548 | |||
| City | LUTZ |
| Zip Code | 33548 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LUTZ + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jack A Bergh.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.