Individual
DR. MARC STUART BERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.,C.M.
Contact information
Practice address
1003 S BAYSHORE BLVD UNIT 206, SAFETY HARBOR, FL 34695-4266
(813) 340-0369
(614) 386-9410
Mailing address
1003 S BAYSHORE BLVD UNIT 206, SAFETY HARBOR, FL 34695-4266
(813) 340-0369
(614) 386-9410
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
66567
GA
207Q00000X
Family Medicine Physician
FTP 45348
TX
207Q00000X
Family Medicine Physician
ME-81929
FL
207QG0300X
Geriatric Medicine (Family Medicine) Physician
66567
GA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
ME-81929
FL
207QG0300X
Geriatric Medicine (Family Medicine) Physician
R0996
TX
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
ME81929
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003113557A
—
GA
05
—
263050800
—
FL
05
—
356072401
—
TX
01
—
356072402
MEDICAID-CSHCN
TX
01
—
37771
FL BLUE SHIELD
FL
01
—
66567
GEORGIA MEDICAL LICENSE
GA
01
—
ME 81929
FLORIDA MEDICAL LICENSE
FL
01
—
R0996
MEDICAL LICENSE TX
TX
Enumeration date
09/11/2006
Last updated
02/16/2026
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