Individual provider Active NPI

Maury Bruce Berger, MD

  • Medical Oncology Physician
  • Ocala, FL
National Provider Identifier
1457310054
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
ME80629 Issued in FL
Practice address
3130 SW 32ND Ave
Ocala, FL 34474-4445
Phone
(352) 732-4032
Fax
(352) 732-4191
NPI assigned
Mar 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X ME80629 FL
Medical Oncology Physician 207RX0202X ME80629 FL Primary

Addresses

Primary practice location

3130 SW 32ND Ave
Ocala, FL 34474-4445

Mailing address

3130 SW 32ND Ave
Ocala, FL 34474-4445
Phone (352) 732-4032

Other identifiers 2

IdentifierTypeStateIssuer
259323800MedicaidFL
830008227OtherFLRAILROAD MEDICARE

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
I20060324000548 FL Practitioner - Hematology/Oncology 7719995232 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
University of Wisconsin School of Medicine, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ocala Oncology Center PLGroup PAC ID 6901950856, 23 clinicians

Practice addresses (Care Compare)

3130 SW 32ND Ave
Ocala, FL 34474-4445
Phone (352) 732-4032

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME80629FLMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ocala Oncology Center PL Hematology & Oncology CurrentSince Jul 1, 2009 Accepting new patients
Ocala Oncology Center, PL CurrentSince Jun 2, 2008 Accepting new patients

Locations

13940 N US Highway 441
Ste 203
Lady Lake, FL 32159
Phone (352) 259-8940

433 SW 10th St
Ocala, FL 34471
Phone (352) 436-4545

3130 SW 32nd Ave
Ocala, FL 34474
Phone (352) 732-4032

9401 SW Highway 200
Ste 702
Ocala, FL 34481
Phone (352) 861-6633

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: maury.berger@fca.ikm.direct-ci.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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1457310054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 SW 32ND AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344744445",
            "telephone_number": "352-732-4032",
            "fax_number": "352-732-4191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 SW 32ND AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344744445",
            "telephone_number": "352-732-4032",
            "fax_number": "352-732-4191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGER",
        "first_name": "MAURY",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-22",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "ME80629",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "FL",
            "license": "ME80629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "259323800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "830008227",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.