Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK ALTON BERGH, MD
ActiveFamily Medicine · LUTZ, FL
Registration Details
- NPI Number
- 1376506394
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 10, 2006 (20.058712276727 yrs)
- Last Updated
- Jan 8, 2013
- License
-
ME0056971 (FL)
Practice Information
- Address
-
1539 DALE MABRY HWY STE 102LUTZ, FL, 33548Browse FL providers · Browse ZIP 33548
- Phone
- 8139097102
- Fax
- 8139090199
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in LUTZ, FL
| Name | Credential | NPI |
|---|---|---|
| PAMELA MAE MARTINEZ | MD | 1871595132 |
| DR. RONALD EUGENE STEPHANS JR. | MD | 1306841937 |
| SHILPA P SAXENA | MD | 1639153158 |
| DR. WILLIAM ADOLF HAAS | MD | 1467424408 |
| NANCY JAIME-WILLIAMS | M.D. | 1871565960 |
| JAMES A SOTROP | M.D. | 1740248384 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.