Individual provider Active NPI

Marie Therese Berg, M.D.

  • Neonatal-Perinatal Medicine Physician
  • Gainesville, FL
National Provider Identifier
1427216068
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
042.0011920 Issued in VT
Practice address
1600 SW Archer Rd
Gainesville, FL 32610-4634
Phone
(352) 265-0301
NPI assigned
May 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X ME133202 FL
Neonatal-Perinatal Medicine Physician 2080N0001X 042.0011920 VT Primary
Neonatal-Perinatal Medicine Physician 2080N0001X 238881 NY

Addresses

Primary practice location

1600 SW Archer Rd
Gainesville, FL 32610-4634

Mailing address

111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-2370

Other practice location 1

111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-2370

Other practice location 2

501 6th Ave S
St Petersburg, FL 33701-4634
Phone (727) 767-4313

Other identifiers 1

IdentifierTypeStateIssuer
021864300MedicaidFL

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
I20180209001467 FL Practitioner - Pediatric Medicine 1355465360 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
47.54 of 100Reported as apm
Quality
38.49
Promoting interoperability
0
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME133202FLMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
All Children'S OB/GYN Specialists CurrentSince Oct 2, 2017 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Sep 23, 2022 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Sep 23, 2022 Accepting new patients
West Coast Neonatology, Inc. Neonatal-Perinatal Medicine CurrentSince Oct 2, 2017 Accepting new patients

Locations

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

601 5th St S
Ste 5
St Petersburg, FL 33701
Phone (727) 727-4429

5959 Central Ave
Ste 103
St Petersburg, FL 33710
Phone (727) 767-6060

501 6th Ave S
St Petersburg, FL 33701
Phone (727) 344-6060

Interoperability endpoints

  • Direct secure messaging: mberg189091@orlandohealth.medalliesdirect.net
  • Direct secure messaging: mberg596359@direct.shands.ufl.edu
  • Direct secure messaging: mberg733249@direct.hopkinsmedicine.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1427216068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 COLCHESTER AVE",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054011473",
            "telephone_number": "802-847-2370",
            "fax_number": "802-847-8590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SW ARCHER RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326104634",
            "telephone_number": "352-265-0301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Colchester Ave",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "VT",
            "postal_code": "054011473",
            "country_code": "US",
            "telephone_number": "802-847-2370",
            "fax_number": "802-847-8590",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 6th Ave S",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337014634",
            "country_code": "US",
            "telephone_number": "727-767-4313",
            "fax_number": "727-767-4391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERG",
        "first_name": "MARIE",
        "middle_name": "THERESE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-30",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "FL",
            "license": "ME133202",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "VT",
            "license": "042.0011920",
            "primary": true
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "NY",
            "license": "238881",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021864300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.