Jack Bergh, MD

ActiveIndividual ProviderFamily Medicine
NPI issued: April 10, 2006

Quick Facts

NPI Number
1376506394
TypeIndividual
StatusActive
SpecialtyFamily Medicine
Taxonomy207Q00000X — Family Medicine
Phone
(813) 909-7102
StateFL

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1376506394)
✅Active status confirmed
✅Verified by CMS NPPES Registry
✅HIPAA compliant identifier
✅Enumeration date on file (April 10, 2006)
Data source: CMS NPPES

Provider Overview

JACK BERGH, MD is a Family Medicine provider based in Lutz, FL who has been registered with CMS since 2006. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1376506394
Provider TypeIndividual Provider
GenderMale
CredentialMD
StatusActive
Enumeration DateApril 10, 2006

Practice Location

CityLutz
StateFL
ZIP Code33548
Phone(813) 909-7102

Specialties & Licenses

★ Primary
SpecialtyFamily Medicine
Taxonomy Code207Q00000X
License StateFL

Mailing Address

CityLutz
StateFL
ZIP Code33548
Phone(813) 909-7102
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1376506394 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1376506394for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1376506394 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Family Medicine

Family Medicine physicians provide comprehensive primary care to patients of all ages, managing acute illnesses, tracking chronic conditions, and emphasizing preventive healthcare.

Browse all Family Medicineproviders →
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199,317
Family Medicine Providers in the US

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People Also Ask

What is Jack Bergh's NPI number?
Jack Bergh's NPI number is 1376506394, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Jack Bergh's NPI currently active?
Yes, Jack Bergh's NPI status is Active as of the latest CMS NPPES database updates.
What does Jack Bergh specialize in?
Jack Bergh specializes in Family Medicine. The healthcare taxonomy code associated with this specialty is 207Q00000X.
Where does Jack Bergh practice?
Jack Bergh practices in Lutz, FL 33548.
When was Jack Bergh's NPI issued?
Jack Bergh's NPI was issued on April 10, 2006.
What is Jack Bergh's provider type?
Jack Bergh is registered as an Individual Provider under CMS NPI Type 1.