Robert Overton Bersot, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

10448 Issued in FL

Practice address

13905 Bruce B Downs Blvd
Suite a
Tampa, FL 33613-3905

Phone

(813) 978-1090

NPI assigned

Oct 10, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Networks

• FL HMO D-SNP
• devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
• FL HMO C-SNP

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northeast Dental Care

  • Dentist
  • Tampa, FL
  • NPI 1619065356
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003904715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13905 BRUCE B DOWNS BLVD",
            "address_2": "SUITE A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336133905",
            "telephone_number": "813-978-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13905 BRUCE B DOWNS BLVD",
            "address_2": "SUITE A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336133905",
            "telephone_number": "813-978-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERSOT",
        "first_name": "ROBERT",
        "middle_name": "OVERTON",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "10448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa G Berry
• Nattanun Berry
• Sarah Berry
• Clara Theresa Berryman
• Elizabeth Bersinger, PA
• Arianna Berta
• Michael Jared Bertalan, CPO
• Michaela Bertic
• Tara Lee Bertic
• Jolene Bertloff, MLIS, EIPA 3.6

• Dentist in Tampa, FL
• Providers in Tampa, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.