Individual provider Active NPI

Eddy E Berges, M.D.

  • Specialist
  • Tampa, FL
National Provider Identifier
1295757615
Registry record updated Nov 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME34935 Issued in FL
Practice address
7001 N Dale Mabry Hwy
Ste B
Tampa, FL 33614-3910
Phone
(813) 870-3665
NPI assigned
Jul 24, 2006
Last updated
Nov 8, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME34935 FL Primary

Addresses

Primary practice location

7001 N Dale Mabry Hwy
Ste B
Tampa, FL 33614-3910

Mailing address

2706 W Saint Isabel St
Suite a
Tampa, FL 33607-6382
Phone (813) 870-3665

Other identifiers 1

IdentifierTypeStateIssuer
068200400MedicaidFL

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
I20040309000250 FL Practitioner - Neurology 3173411303 Practice locations: Tampa, FL

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME34935FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Eddy E. Berges, M.D. PastSince Nov 21, 1981 Accepting new patients
Onecare Medical Group of Tampa Bay Inc PastSince Aug 5, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: eddy.berges.1@18455.direct.athenahealth.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.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510099200000",
    "number": "1295757615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 N DALE MABRY HWY",
            "address_2": "STE B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336143910",
            "telephone_number": "813-870-3665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGES",
        "first_name": "EDDY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2017-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME34935",
            "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

Verify at the official NPI Registry.