Active NPI
Renato Augusto Berger, M.D., F.A.A.P.
- Pediatrics Physician
- Coconut Creek, FL
National Provider Identifier
1811994528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME 80792
- Practice address
- 5300 W Hillsboro Blvd
Suite 110
Coconut Creek, FL 33073-4395 - Phone
- (954) 794-1360
- Fax
- (954) 794-1367
- NPI assigned
- Jul 7, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 | ME 80792 | FL | Primary |
Addresses
Primary practice location
5300 W Hillsboro Blvd
Suite 110
Coconut Creek, FL 33073-4395
Mailing address
2021 NE 22ND Ter
Fort Lauderdale, FL 33305-2613
Phone (954) 794-1360
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003725700 | 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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 80792 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All Better Pediatric Group, Inc | Single Specialty | Current | Accepting new patients |
Locations
5300 W Hillsboro Blvd
Ste 110
Coconut Creek, FL 33073
Phone (954) 794-1360
Interoperability endpoints
- rberger@abp.opdirect.net
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Coconut Creek, FL
- NPI 1649567090
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313625600000",
"number": "1811994528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2021 NE 22ND TER",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333052613",
"telephone_number": "954-794-1360",
"fax_number": "954-794-1367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5300 W HILLSBORO BLVD",
"address_2": "SUITE 110",
"city": "COCONUT CREEK",
"state": "FL",
"postal_code": "330734395",
"telephone_number": "954-794-1360",
"fax_number": "954-794-1367"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGER",
"first_name": "RENATO",
"middle_name": "AUGUSTO",
"name_prefix": "Dr.",
"credential": "M.D., F.A.A.P.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2011-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "FL",
"license": "ME 80792",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003725700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Coconut Creek, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.