Berg Primary Care & House Calls LLC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Legal business name

BERG PRIMARY CARE & HOUSE CALLS LLC

Practice address

211 Live Oak LN
Largo, FL 33770-4074

Phone

(727) 233-1951

Fax

(727) 313-9841

NPI assigned

Jul 29, 2021

Organization subpart

No

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

Authorized official

Name

Alexandria Mills Berg, APRNNPI 1578731741

Title

Owner

Phone

(727) 233-1951

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Interoperability endpoints

• Direct secure messaging: bergprimarycare@direct.practicefusion.com

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alexandria Mills Berg, NP

  • Nurse Practitioner
  • Largo, FL
  • NPI 1578731741

  Adult Health

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1627516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633392000000",
    "number": "1538832035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 782",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337790782",
            "telephone_number": "727-233-1951",
            "fax_number": "727-313-9841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 LIVE OAK LN",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337704074",
            "telephone_number": "727-233-1951",
            "fax_number": "727-313-9841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERG PRIMARY CARE & HOUSE CALLS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-29",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "ALEXANDRIA",
        "authorized_official_middle_name": "MILLS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-233-1951",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bergprimarycare@direct.practicefusion.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "211 Live Oak Ln",
            "city": "Largo",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337704074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jordan Ashley Bennett
• Victoria Denise Bennett, ARNP CNM
• Benson Pharmacy Inc
• Beth B Benson, M.D.
• David Bentley, OPT
• Alexandria Mills Berg, NP
• Shari Alissa Berg, DO
• Maxim Berger
• Marta J Berio, MD
• Arthur L Berman, D.O., F.A.A.I.M

• Adult Health Nurse Practitioner in Largo, FL
• Providers in Largo, FL by specialty
• Adult Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.