Individual
BRADLEY BERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 SHIRCLIFF WAY, JACKSONVILLE, FL 32204-4748
(904) 308-7300
(904) 346-0113
Mailing address
PO BOX 863026, ORLANDO, FL 32886-3026
(800) 288-8325
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
ME0051471
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
058940300
—
FL
01
—
14680
BCBS
FL
01
—
930007768
RRMCR
FL
Enumeration date
05/04/2006
Last updated
01/28/2013
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