NPIMap

Individual provider Active NPI

Peter A Bercz, M.D.

  • Pulmonary Disease Physician
  • Pensacola, FL
National Provider Identifier
1275725178
Registry record updated Jun 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME113259 Issued in FL
Practice address
4700 Bayou Blvd
Ste 6
Pensacola, FL 32503-1901
Phone
(850) 477-9253
Fax
(850) 494-9843
NPI assigned
Aug 14, 2007
Last updated
Jun 6, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2017

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X ME113259 FL
Critical Care Medicine (Internal Medicine) Physician 207RC0200X MD432552 PA
Pulmonary Disease Physician 207RP1001X MD432552 PA
Pulmonary Disease Physician 207RP1001X ME113259 FL Primary

Addresses

Primary practice location

4700 Bayou Blvd
Ste 6
Pensacola, FL 32503-1901

Mailing address

4700 Bayou Blvd
Ste 6
Pensacola, FL 32503-1901
Phone (850) 477-9253

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121009000075 FL Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 4486741899 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pensacola Lung Group, M.D.'S, P.a.Group PAC ID 7517928062, 31 clinicians

Practice addresses (Care Compare)

4700 Bayou Blvd
Suite 6
Pensacola, FL 32503-1901
Phone (850) 477-9253

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
ME113259FLMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pensacola Lung Group, M.D.'S, P.a. CurrentSince Sep 4, 2012 Accepting new patients
Health Services of Fox Chase Cancer Center Past Accepting new patients
Health Services of Fox Chase Cancer Center Past Accepting new patients

Locations

4700 Bayou Blvd
Ste 6
Pensacola, FL 32503
Phone 8504779253 ext. 4616

Organizations & group practices 3

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 7

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": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496707200000",
    "number": "1275725178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 BAYOU BLVD",
            "address_2": "STE 6",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325031901",
            "telephone_number": "850-477-9253",
            "fax_number": "850-479-9843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 BAYOU BLVD",
            "address_2": "STE 6",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325031901",
            "telephone_number": "850-477-9253",
            "fax_number": "850-494-9843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERCZ",
        "first_name": "PETER",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-14",
        "last_updated": "2017-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "FL",
            "license": "ME113259",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "PA",
            "license": "MD432552",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PA",
            "license": "MD432552",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME113259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.