NPI
Jack Alton Bergh
NPI 1376506394
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- MD
- Type
- Individual
- Enumeration date
- 2006-04-10
- Last updated
- 2013-01-08
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Specialties
Licenses
- License FL
- ME0056971
Location
- Practice location
- 1539 Dale Mabry Hwy Ste 102
- City
- Lutz FL
- Postal code
- 33548
- Phone
- (813) 909-7102
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Lutz, FL. 1,989 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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