Active NPI
Paul Stephen Berger, M.D.
- Pediatrics Physician
- Gulf Breeze, FL
National Provider Identifier
1487618443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME55221
- Practice address
- 815 Bay Cliffs Rd
Gulf Breeze, FL 32561-4809 - Phone
- (850) 207-1555
- NPI assigned
- Apr 14, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME55221 | FL | Primary |
Addresses
Primary practice location
815 Bay Cliffs Rd
Gulf Breeze, FL 32561-4809
Mailing address
815 Bay Cliffs Rd
Gulf Breeze, FL 32561-4809
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10374 | Other | FL | BCBSF: |
| 114408000 | Medicaid | FL |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703116800000",
"number": "1487618443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 BAY CLIFFS RD",
"city": "GULF BREEZE",
"state": "FL",
"postal_code": "325614809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 BAY CLIFFS RD",
"city": "GULF BREEZE",
"state": "FL",
"postal_code": "325614809",
"telephone_number": "850-207-1555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGER",
"first_name": "PAUL",
"middle_name": "STEPHEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-14",
"last_updated": "2023-12-21",
"certification_date": "2023-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME55221",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSF:",
"identifier": "10374",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114408000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gulf Breeze, FL
- Rick A Beach, M.D.
- Casey Wheeler Becker, M.A., LMHC
- Behavior Changes LLC
- Behive Homes of Pensacola, LLC (Beehive Homes of Gulf Breeze)
- Grayson Evan Bell, D.D.S.
- Stephane Bergeron, MD
- Jon Erik Berguson, MD
- Nicole Bero, MSW
- Kathleen Rita Bertelli
- Bio-Medical Applications of Florida, Inc. (Fresenius Medical Care Gulf Breeze)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.