Individual provider Active NPI

Beric Emilio Berlioz, M.D.

  • Interventional Pain Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1093240061
Registry record updated Oct 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
ME141877 Issued in FL
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
115268100MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220409000345 FL Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 8820368152 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology
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
Riverside Spine and Pain Physicians LLCGroup PAC ID 9931092814, 10 clinicians

Practice addresses (Care Compare)

7207 Golden Wings Rd
Suite 100
Jacksonville, FL 32244-3324
Phone (904) 389-1010

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME141877FLMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Spine & Pain Physicians, LLC CurrentSince Apr 5, 2022 Accepting new patients
Riverside Spine & Pain Physicians, LLC CurrentSince Apr 5, 2022 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

  • Direct secure messaging: bberlioz146164@direct.phhs.org
  • Direct secure messaging: beric.berlioz.1@33498.direct.athenahealth.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.