Active NPI
James W Berk, M.D.
- Sports Medicine (Family Medicine) Physician
- Alachua, FL
National Provider Identifier
1972500338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- ME70764
- Practice address
- 14417 NW 152ND LN
Alachua, FL 32615-8667 - Phone
- (386) 462-6400
- Fax
- (386) 462-6404
- NPI assigned
- Jun 30, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | ME70764 | FL | Primary |
Addresses
Primary practice location
14417 NW 152ND LN
Alachua, FL 32615-8667
Mailing address
4500 W Newberry Rd
Gainesville, FL 32607-2245
Phone (352) 336-6000
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gainesville Family Physicians P a | Past | Accepting new patients | |
| Gainesville After Hours Clinic | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Gainesville, FL
- NPI 1780605865
-
- Family Medicine Physician
- Gainesville, FL
- NPI 1972601789
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424304000000",
"number": "1972500338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 W NEWBERRY RD",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326072245",
"telephone_number": "352-336-6000",
"fax_number": "352-332-0799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14417 NW 152ND LN",
"city": "ALACHUA",
"state": "FL",
"postal_code": "326158667",
"telephone_number": "386-462-6400",
"fax_number": "386-462-6404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERK",
"first_name": "JAMES",
"middle_name": "W",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-30",
"last_updated": "2015-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "FL",
"license": "ME70764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alachua, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.