Individual provider Active NPI

Marc Stuart Berger, M.D.,C.M.

  • Geriatric Medicine (Family Medicine) Physician
  • Safety Harbor, FL
National Provider Identifier
1861596058
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
ME-81929 Issued in FL
Practice address
1003 S Bayshore Blvd Unit 206
Safety Harbor, FL 34695-4266
Phone
(813) 340-0369
Fax
(614) 386-9410
NPI assigned
Sep 11, 2006
Last updated
Feb 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME-81929 FL
Family Medicine Physician 207Q00000X FTP 45348 TX
Family Medicine Physician 207Q00000X 66567 GA
Geriatric Medicine (Family Medicine) Physician 207QG0300X 66567 GA
Geriatric Medicine (Family Medicine) Physician 207QG0300X R0996 TX
Geriatric Medicine (Family Medicine) Physician 207QG0300X ME-81929 FL Primary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X ME81929 FL

Addresses

Primary practice location

1003 S Bayshore Blvd Unit 206
Safety Harbor, FL 34695-4266

Mailing address

1003 S Bayshore Blvd Unit 206
Safety Harbor, FL 34695-4266
Phone (813) 340-0369

Other practice location 1

6804 Cecelia Drive
New Port Richey, FL 34653-4935
Phone (855) 232-0644

Other practice location 2

101 Riverfront Blvd Ste 100
Bradenton, FL 34205-8870
Phone (941) 776-4000

Other identifiers 8

IdentifierTypeStateIssuer
356072401MedicaidTX
ME 81929OtherFLFLORIDA MEDICAL LICENSE
356072402OtherTXMEDICAID-CSHCN
263050800MedicaidFL
37771OtherFLFL BLUE SHIELD
003113557AMedicaidGA
66567OtherGAGEORGIA MEDICAL LICENSE
R0996OtherTXMEDICAL LICENSE TX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040525001709 FL Practitioner - Family PracticePractitioner - Geriatric Medicine 4981685005 Reassigns benefits to 2 organizations
I20111110000665 GA Practitioner - Family PracticePractitioner - Geriatric Medicine 4981685005 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Careconnectmd Florida P.a.Group PAC ID 7911389838, 11 clinicians
MCR Health IncGroup PAC ID 7214847995, shared by 34 NPIs, 132 clinicians

Practice addresses (Care Compare)

10151 Deerwood Park Blvd
Suite 250
Jacksonville, FL 32256-0566
Phone (888) 789-9585

1312 Manatee Ave E
Bradenton, FL 34208-1358
Phone (941) 708-8700

919 53Rd Ave E
Bradenton, FL 34203-4801
Phone (941) 751-8100

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
FTP 45348TXMDFamily Medicine Physician
ME-81929FLMDGeriatric Medicine (Family Medicine) Physician
R0996TXMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Physician Services Inc. CurrentSince Aug 1, 2024 Accepting new patients
Morehouse Healthcare, Inc. CurrentSince Jun 1, 2018 Accepting new patients
Careconnectmd Florida P.a. CurrentSince Aug 1, 2024 Accepting new patients
University of Texas Rio Grande Valley Past Accepting new patients
First Knight Medical Inc PastSince Nov 7, 2006 Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

499 Alternate Keene Rd
Largo, FL 33771
Phone (727) 586-4211

6804 Cecelia Dr
New Prt Rchy, FL 34653
Phone (727) 232-0644

1595 Cleveland Ave
East Point, GA 30344
Phone (404) 305-8086

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 6

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 5

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": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1861596058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 S BAYSHORE BLVD UNIT 206",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346954266",
            "telephone_number": "813-340-0369",
            "fax_number": "614-386-9410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 S BAYSHORE BLVD UNIT 206",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346954266",
            "telephone_number": "813-340-0369",
            "fax_number": "614-386-9410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6804 Cecelia Drive",
            "address_purpose": "LOCATION",
            "city": "New Port Richey",
            "state": "FL",
            "postal_code": "346534935",
            "country_code": "US",
            "telephone_number": "855-232-0644",
            "fax_number": "888-546-0488",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Riverfront Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342058870",
            "country_code": "US",
            "telephone_number": "941-776-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERGER",
        "first_name": "MARC",
        "middle_name": "STUART",
        "name_prefix": "Dr.",
        "credential": "M.D.,C.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-11",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME-81929",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "FTP 45348",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "66567",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "GA",
            "license": "66567",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "R0996",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME-81929",
            "primary": true
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "FL",
            "license": "ME81929",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "356072401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA MEDICAL LICENSE",
            "identifier": "ME 81929",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID-CSHCN",
            "identifier": "356072402",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263050800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL BLUE SHIELD",
            "identifier": "37771",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003113557A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA MEDICAL LICENSE",
            "identifier": "66567",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE TX",
            "identifier": "R0996",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Safety Harbor, FL

Sources for this page

Verify at the official NPI Registry.