Berger, Bradley
Berger, Bradley is an individual health care provider with primary practice located at 1 Shircliff Way , Jacksonville FL 32204-4748. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Berger, Bradley can be contacted via phone (904) 308-7300.Contact Information
Primary practice address
1 Shircliff Way
Jacksonville FL 32204-4748
Phone: (904) 308-7300
Fax: (904) 346-0113
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | ME0051471 | Florida |
Profile Details
NPI number | 1144278011 |
---|---|
LBN Legal business name | Berger, Bradley |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 4th, 2006 |
Last updated | Jan 28th, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1144278011 | NPPES |
Florida | Other | 14680 | BCBS |
Florida | MEDICAID | 058940300 | BCBS |
Florida | Other | 930007768 | BCBS |
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