Active NPI
Beric Emilio Berlioz, M.D.
- Interventional Pain Medicine Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- ME141877
- Practice address
- 7207 Golden Wings Rd Ste 100
Jacksonville, FL 32244-3324 - Phone
- (904) 389-1010
- Fax
- (904) 389-1082
- NPI assigned
- Apr 26, 2017
- Last updated
- Oct 14, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | ME141877 | FL | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | ME141877 | FL | |
| Interventional Pain Medicine Physician | 208VP0014X | ME141877 | FL | Primary |
Addresses
Primary practice location
7207 Golden Wings Rd Ste 100
Jacksonville, FL 32244-3324
Mailing address
7207 Golden Wings Rd Ste 100
Jacksonville, FL 32244-3324
Phone (904) 389-1010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 115268100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Pain Management
- Education
- State University of New York at Buffalo School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7207 Golden Wings Rd
Suite 100
Jacksonville, FL 32244-3324
Phone (904) 389-1010
Hospital & facility affiliations
- Baptist Medical Center Beaches
- Baptist Health Medical Center - Jacksonville
- Brooks Rehabilitation Hospital University Campus
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME141877 | FL | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Spine & Pain Physicians, LLC | Current | Accepting new patients | |
| Riverside Spine & Pain Physicians, LLC | Current | Accepting new patients |
Locations
4312 Pablo Professional Ct
Jacksonville, FL 32224
7207 Golden Wings Rd
Ste 100
Jacksonville, FL 32244
Phone (904) 244-3199
Interoperability endpoints
- bberlioz146164@direct.phhs.org
- beric.berlioz.1@33498.direct.athenahealth.com
- beric.berlioz.p1@direct.riversidepain.nextgenshare.com
Organizations & group practices 2
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.
-
- Specialist
- Jacksonville, FL
- NPI 1639208648
-
- Specialist
- Jacksonville, FL
- NPI 1619343886
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jacksonville Beach, FL
- NPI 1821155912
-
dba Brooks Rehabilitation Hospital Bartram Campus
- Rehabilitation Hospital
- Jacksonville, FL
- NPI 1376114413
Inpatient rehabilitation facility
-
dba Brooks Rehabilitation
- Rehabilitation Hospital
- Jacksonville, FL
- NPI 1912947748
Inpatient rehabilitation facility
-
dba Baptist Medical Center
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1578620449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665705600000",
"number": "1093240061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7207 GOLDEN WINGS RD STE 100",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322443324",
"telephone_number": "904-389-1010",
"fax_number": "904-389-1082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7207 GOLDEN WINGS RD STE 100",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322443324",
"telephone_number": "904-389-1010",
"fax_number": "904-389-1082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERLIOZ",
"first_name": "BERIC",
"middle_name": "EMILIO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-26",
"last_updated": "2022-10-14",
"certification_date": "2022-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME141877",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "FL",
"license": "ME141877",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "FL",
"license": "ME141877",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "115268100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.