Individual provider Active NPI

Jason Berger, PA-C

  • Physician Assistant
  • Clearwater, FL
National Provider Identifier
1487027991
Registry record updated Jan 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9109265 Issued in FL
Practice address
300 Pinellas St # Ms 36
Clearwater, FL 33756-3804
Phone
(727) 298-6612
NPI assigned
Nov 5, 2015
Last updated
Jan 15, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9109265 FL Primary

Addresses

Primary practice location

300 Pinellas St # Ms 36
Clearwater, FL 33756-3804

Mailing address

300 Pinellas St # Ms 36
Clearwater, FL 33756-3804

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160302001019 FL Practitioner - Physician Assistant 7113223009 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guidewell Emergency Medicine Doctors, LLCGroup PAC ID 8224352919, 88 clinicians
Tampa Bay Emergency Physicians, LLCGroup PAC ID 0345260345, 55 clinicians

Practice addresses (Care Compare)

113 N Orlando Ave
Winter Park, FL 32789-3675
Phone (407) 801-8400

1603 Missouri Ave N
Largo, FL 33770-1825
Phone (727) 614-0020

16318 N Dale Mabry Hwy
Tampa, FL 33618-1341
Phone (813) 576-0077

3100 E Fletcher Ave
Tampa, FL 33613-4613
Phone (813) 971-6000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9109265FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa Bay Emergency Physicians LLC CurrentSince Oct 8, 2025 Accepting new patients
Guidewell Emergency Medicine Doctors, LLC PastSince Apr 6, 2025 Accepting new patients

Locations

3100 E Fletcher Ave
Tampa, FL 33613
Phone (813) 615-7200

1395 S Pinellas Ave
Tarpon Springs, FL 34689
Phone (727) 942-5000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1446681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452816000000",
    "number": "1487027991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PINELLAS ST # MS 36",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PINELLAS ST # MS 36",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563804",
            "telephone_number": "727-298-6612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGER",
        "first_name": "JASON",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-11-05",
        "last_updated": "2016-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9109265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.