Active NPI
Douglas Marc Berger, MD
- Psychiatry Physician
- Lake Worth, FL
National Provider Identifier
1417594615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME143155
- Practice address
- 8891 Majorca Bay Dr
Lake Worth, FL 33467-6925 - Phone
- (561) 434-9774
- NPI assigned
- Dec 6, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ME143155 | FL | Primary |
Addresses
Primary practice location
8891 Majorca Bay Dr
Lake Worth, FL 33467-6925
Mailing address
8891 Majorca Bay Dr
Lake Worth, FL 33467-6925
Phone (561) 434-9774
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME143155 | FL | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575590400000",
"number": "1417594615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8891 MAJORCA BAY DR",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334676925",
"telephone_number": "561-434-9774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8891 MAJORCA BAY DR",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334676925",
"telephone_number": "561-434-9774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGER",
"first_name": "DOUGLAS",
"middle_name": "MARC",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-12-06",
"last_updated": "2019-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME143155",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Worth, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.