Organization Active NPI

Eddy E. Berges, M.D.

  • Neurology Physician
  • Tampa, FL
National Provider Identifier
1033500749
Registry record updated Feb 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
EDDY E. BERGES, M.D.
Practice address
2706 W Saint Isabel St
Suite a
Tampa, FL 33607-6382
Phone
(813) 870-3665
Fax
(813) 870-3668
NPI assigned
Feb 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2015

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

Authorized official

Name
Dr. Eddy Berges, M.D.NPI 1295757615
Title
Owner
Phone
(813) 870-3665

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

2706 W Saint Isabel St
Suite a
Tampa, FL 33607-6382

Mailing address

2706 W. St. Isabel St.
Suite a
Tampa, FL 33607-6320
Phone (813) 870-3665

Other identifiers 1

IdentifierTypeStateIssuer
068200400MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1424131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424304000000",
    "number": "1033500749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2706 W. ST. ISABEL ST.",
            "address_2": "SUITE A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076320",
            "telephone_number": "813-870-3665",
            "fax_number": "813-870-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2706 W SAINT ISABEL ST",
            "address_2": "SUITE A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076382",
            "telephone_number": "813-870-3665",
            "fax_number": "813-870-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDDY E. BERGES, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-17",
        "last_updated": "2015-02-19",
        "status": "A",
        "authorized_official_last_name": "BERGES",
        "authorized_official_first_name": "EDDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-870-3665",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "068200400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; 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.