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:
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Health care specialties

SpecialtyCodeLicense #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 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144278011 NPPES
Florida Other 14680 BCBS
Florida MEDICAID 058940300 BCBS
Florida Other 930007768 BCBS

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