Individual provider Active NPI

Paul Berg III

  • Anesthesiologist Assistant
  • Vero Beach, FL
National Provider Identifier
1194254888
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiologist AssistantTaxonomy code 367H00000X
License
385 Issued in FL
Practice address
1000 36TH St Ste 244
Vero Beach, FL 32960-4862
Phone
(772) 567-4311
NPI assigned
Jun 7, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiologist Assistant 367H00000X 385 FL Primary

Addresses

Primary practice location

1000 36TH St Ste 244
Vero Beach, FL 32960-4862

Mailing address

1000 36TH St Ste 244
Vero Beach, FL 32960-4862

Other practice location 1

1775 W Hibiscus Blvd Ste 215
Melbourne, FL 32901-2627
Phone (321) 837-3820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170728002389 FL Practitioner - Anesthesiology Assistant 2769753466 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Indian River Health Services IncGroup PAC ID 9234130329, 335 clinicians
Brevard Physician Associates PLLCGroup PAC ID 1850535048, 221 clinicians
US Anesthesia Partners of Florida IncGroup PAC ID 0345143152, 1,111 clinicians

Practice addresses (Care Compare)

1000 36TH St
Suite 244
Vero Beach, FL 32960-4862
Phone (772) 567-4311

1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-7000

2776 Cleveland Ave
Fort Myers, FL 33901-5864
Phone (239) 343-2000

636 Del Prado Blvd
Cape Coral, FL 33990-2695
Phone (239) 424-2000

9981 S Healthpark Dr
Fort Myers, FL 33908-3618
Phone (394) 337-7992

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.26 of 100Reported as apm
Quality
80.2
Promoting interoperability
99.24
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Associate of Arts

State licenses

LicenseStateTypeSpecialty
385FLMDAnesthesiologist Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Indian River Health Services Inc CurrentSince Nov 6, 2023 Accepting new patients
Indian River Health Services Inc CurrentSince Nov 6, 2023 Accepting new patients
Brevard Physician Associates, PLLC Anesthesiologist Assistant CurrentSince Jun 30, 2017 Accepting new patients
US Anesthesia Partners of Florida Inc. Anesthesiologist Assistant CurrentSince Jul 21, 2025 Accepting new patients
Orlando Health Medical Group Inc Past Accepting new patients

Locations

3650 NW 82nd Ave
Ste 101
Doral, FL 33166
Phone (305) 341-7280

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

851 Trafalgar Ct
Ste 200E
Maitland, FL 32751
Phone (321) 422-7155

1775 W Hibiscus Blvd
Ste 215
Melbourne, FL 32901
Phone (321) 255-9671

1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

1000 36th St
Ste 244
Vero Beach, FL 32960
Phone (772) 778-9621

1190 37th St
Vero Beach, FL 32960
Phone (772) 563-4666

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

Organizations & group practices 5

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

Hospital & facility affiliations 5

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": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1194254888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 36TH ST STE 244",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 36TH ST STE 244",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604862",
            "telephone_number": "772-567-4311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1775 W Hibiscus Blvd Ste 215",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329012627",
            "country_code": "US",
            "telephone_number": "321-837-3820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERG",
        "first_name": "PAUL",
        "name_suffix": "III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-07",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "FL",
            "license": "385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.