Jacob P. Berger, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

22065 Issued in FL

Practice address

2215 University Pkwy
103
Sarasota, FL 34243-7233

Phone

(941) 787-5446

NPI assigned

Aug 31, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472601600000",
    "number": "1447706205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2009 RIVER PARK CT",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335967233",
            "telephone_number": "813-843-9362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 UNIVERSITY PKWY",
            "address_2": "103",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342437233",
            "telephone_number": "941-787-5446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGER",
        "first_name": "JACOB",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-31",
        "last_updated": "2016-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "22065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha 'Mimi' Berber
• Beth Ann Berberich, LMT
• Beth A Beres, CRNA
• Jeremy Bergamo, MD
• Tamara Bergamo, PA-C
• Jeremy C. Berger, PT, MPT
• Johanna Bergey, LCSW
• Diana Bergstresser, LMT., CNMT.
• Michelle Celeste Berhen, P.T. MCSP
• Jose M Berio, MD

• Dentist in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.