Edwin Bercaw, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY7991 Issued in FL

Practice address

710 Oakfield Dr Ste 153
Brandon, FL 33511-4954

Phone

(813) 603-7635

Fax

(813) 501-1186

NPI assigned

Nov 5, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Bercaw Neuropsychology

  • Clinical Neuropsychologist
  • Brandon, FL
  • NPI 1134633092
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1257379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1871820233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3818 67TH TER E",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342434009",
            "telephone_number": "941-225-5309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 OAKFIELD DR STE 153",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114954",
            "telephone_number": "813-603-7635",
            "fax_number": "813-501-1186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3818 67th Ter E",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342434009",
            "country_code": "US",
            "telephone_number": "941-225-5309",
            "fax_number": "941-225-5309",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1601 Rickenbacker Dr Ste 3",
            "address_purpose": "LOCATION",
            "city": "Sun City Center",
            "state": "FL",
            "postal_code": "335735332",
            "country_code": "US",
            "telephone_number": "813-603-7635",
            "fax_number": "813-501-1186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERCAW",
        "first_name": "EDWIN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-05",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY7991",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY7991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abd Alrahman Benni, MD
• Gabrielle Benoit
• Vanessa Nichola Benton, D.C.
• Maria Yicet Beovides Felinciano
• Bercaw Neuropsychology
• Aida R Berdasco Paz, MD
• Beriana Berice
• Cathy Barbara Bermudez Alvarez, MA, LMHC
• Yamilka Bernal Darias
• Bernard Goldstein PA

• Clinical Psychologist in Brandon, FL
• Providers in Brandon, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.

Verify at the official NPI Registry.