Active NPI
Amanda Lisa Berg, MD
- Internal Medicine Physician
- Plantation, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME101078
- Practice address
- 350 N Pine Island Rd Ste 200
Plantation, FL 33324-1849 - Phone
- (954) 424-4321
- Fax
- (954) 424-7702
- NPI assigned
- May 22, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME101078 | FL | Primary |
Addresses
Primary practice location
350 N Pine Island Rd Ste 200
Plantation, FL 33324-1849
Mailing address
4780 SW 64TH Ave Ste 103
Davie, FL 33314-4400
Phone (954) 434-1705
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000492100 | Medicaid | FL |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081218000524 | FL | Practitioner - Internal Medicine | 9739241134 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Wayne State University School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Associatesmd Medical Group Inc
Practice addresses (Care Compare)
350 N W 84TH Ave
Suite 200B
Plantation, FL 33324
Phone (954) 424-4321
Hospital & facility affiliations
- Univ of Miami Hospital and Clinics-Sylvester Compr
- Memorial Hospital West
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME101078 | FL | MD | Internal Medicine Physician |
Practice roles (3 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associatesmd Medical Group Inc | Current | Accepting new patients | |
| Associatesmd Medical Group Inc | Current | Accepting new patients | |
| East Florida Hospitalists LLC | Past | Accepting new patients |
Locations
4780 SW 64th Ave
Ste 101
Davie, FL 33314
4780 SW 64th Ave
Ste 103
Davie, FL 33314
4801 S University Dr
Ste 104
Davie, FL 33328
4780 SW 64th Ave
Davie, FL 33314
7800 Sheridan St
Pembroke Pines, FL 33024
Phone (954) 962-9650
350 NW 84th Ave
Ste 200
Plantation, FL 33324
Phone (954) 424-4321
350 NW 84th Ave
Ste 200B
Plantation, FL 33324
Phone (954) 577-2294
350 N Pine Island Rd
Ste 200
Plantation, FL 33324
Phone (954) 424-4321
Networks
- Optimum HealthCare HMO Network
Interoperability endpoints
- amanda.berg@amd.eclinicaldirectplus.com
Organizations & group practices 3
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.
-
- Urgent Care Clinic/Center
- Pembroke Pines, FL
- NPI 1073141156
-
- Hospitalist Physician
- Margate, FL
- NPI 1457516114
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pembroke Pines, FL
- NPI 1134102080
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786406400000",
"number": "1699984062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4780 SW 64TH AVE STE 103",
"city": "DAVIE",
"state": "FL",
"postal_code": "333144400",
"telephone_number": "954-434-1705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 N PINE ISLAND RD STE 200",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333241849",
"telephone_number": "954-424-4321",
"fax_number": "954-424-7702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERG",
"first_name": "AMANDA",
"middle_name": "LISA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2026-08-11",
"certification_date": "2026-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME101078",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000492100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.