Gary L Berger (NPI# 1205818804, PAC ID# 7113025271) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1205818804 |
| PAC ID by PECOS | 7113025271 |
| Professional Enrollment ID | I20070613000397 |
| Full Name | Gary L Berger |
| Organization Legal Name | 21ST CENTURY ONCOLOGY, LLC |
| Address |
3175 Harbor Blvd Port Charlotte FL 33952-6729 |
| Phone Number | 9416276465 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
| Graduation Year | 1975 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 9830082882 |
| Number of Group Practice Members | 297 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100077 | BAYFRONT HEALTH PORT CHARLOTTE |
| 100236 | FAWCETT MEMORIAL HOSPITAL |
| 100047 | BAYFRONT HEALTH PUNTA GORDA |
| 100175 | DESOTO MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 571 Medical Dr, Englewood, FL 34223-3996 | 9416251550 | 21ST CENTURY ONCOLOGY, LLC |
| 730 Goodlette Rd N, Suite 201, Naples, FL 34102-5618 | 2392634499 | 21ST CENTURY ONCOLOGY, LLC |
| 3175 Harbor Blvd, Port Charlotte, FL 33952-6729 | 9416276465 | 21ST CENTURY ONCOLOGY, LLC |
| Organization Legal Name | 21ST CENTURY ONCOLOGY, LLC |
| Physicians | 306 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sandra E Marrero Ortiz | General Surgery | 21st Century Oncology, LLC | 720 Doctors Dr, Englewood, FL 34223-3992 |
| Eihab Akary | Urology | 21st Century Oncology, LLC | 3325 S Tamiami Trl, Suite 200, Sarasota, FL 34239-5114 |
| Aimiee Michelle Cruz | Nurse Practitioner | 21st Century Oncology, LLC | 16420 Healthpark Commons Dr, Suite 100, Fort Myers, FL 33908-9621 |
| Staci Lin Mitchell | Nurse Practitioner | 21st Century Oncology, LLC | 842 Sunset Lake Blvd, Suite 403, Venice, FL 34292-7553 |
| Nicole B Houle | Nurse Practitioner | 21st Century Oncology, LLC | 1419 Se 8th Ter, Cape Coral, FL 33990-3213 |
| Geoffrey Alan Geiger | Radiation Oncology | 21st Century Oncology, LLC | 3426 N Roosevelt Blvd, Key West, FL 33040-4224 |
| Ashok V.s. Kumar | Hematology/oncology | 21st Century Oncology, LLC | 12741 Miramar Pkwy, Suite 306, Miramar, FL 33027-2905 |
| Donna L Irving | Nurse Practitioner | 21st Century Oncology, LLC | 28930 Trails Edge Boulevard, Suite 200, Bonita Springs, FL 34134-7582 |
| Aurora Y Luna | Diagnostic Radiology | 21st Century Oncology, LLC | 1311 N University Dr, Coral Springs, FL 33071-6622 |
| Elizabeth A Arguelles | General Surgery | 21st Century Oncology, LLC | 733 4th Ave N, Naples, FL 34102-5731 |
| Street Address |
3175 HARBOR BLVD |
| City | PORT CHARLOTTE |
| State | FL |
| Zip | 33952-6729 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen J Patrice | Radiation Oncology | 21st Century Oncology, LLC | 3175 Harbor Blvd, Port Charlotte, FL 33952-6729 |
| Tyler Hollen | Radiation Oncology | 21st Century Oncology, LLC | 3175 Harbor Blvd, Port Charlotte, FL 33952-6729 |
| Alex Hnatov | Radiation Oncology | 21st Century Oncology, LLC | 3175 Harbor Blvd, Port Charlotte, FL 33952-6729 |
| Michelle M Sousa | Physician Assistant | 21st Century Oncology, LLC | 3175 Harbor Blvd, Port Charlotte, FL 33952-6729 |
| John E Sylvester | Radiation Oncology | 21st Century Oncology, LLC | 3175 Harbor Blvd, Port Charlotte, FL 33952-6729 |
| Essam Y Malaty | Medical Oncology | 21st Century Oncology, LLC | 3175 Harbor Blvd, Port Charlotte, FL 33952-6729 |
| Gray B Swor | Radiation Oncology | 21st Century Oncology, LLC | 3175 Harbor Blvd, Port Charlotte, FL 33952-6729 |
| Mary Koshy | Radiation Oncology | 21st Century Oncology, LLC | 3175 Harbor Blvd, Port Charlotte, FL 33952-6729 |
| Melinda B. Hart | General Surgery | 21st Century Oncology, LLC | 3175 Harbor Blvd, Port Charlotte, FL 33952-6729 |
| Dwight L Fitch | Radiation Oncology | 21st Century Oncology, LLC | 3175 Harbor Blvd, Port Charlotte, FL 33952-6729 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert A Barrett | Clinical Social Worker | Manuel Gallego Md Pa | 3460 Depew Circle, Port Charlotte, FL 33952 |
| Manuel F Gallego | Psychiatry | Manuel Gallego Md Pa | 3460 Depew Circle, Port Charlotte, FL 33952 |
| Mason S Maulsby | Nurse Practitioner | Manuel Gallego Md Pa | 3460 Depew Circle, Port Charlotte, FL 33952 |
| Kimberly M Huggard | Nurse Practitioner | Millennium Physician Group LLC | 2450 Tamiami Trl, Suite A, Port Charlotte, FL 33952-3922 |
| Rita F De Palma | Nurse Practitioner | Millennium Physician Group LLC | 2450 Tamiami Trl, Suite A, Port Charlotte, FL 33952-3922 |
| David M Reilly | Family Medicine | Millennium Physician Group LLC | 2450 Tamiami Trl, Suite A, Port Charlotte, FL 33952-3922 |
| Ewa A Bialikiewicz | Family Medicine | Millennium Physician Group LLC | 2450 Tamiami Trl, Suite A, Port Charlotte, FL 33952-3922 |
| Gary B Jacobs | Family Medicine | Millennium Physician Group LLC | 2450 Tamiami Trl, Suite A, Port Charlotte, FL 33952-3922 |
| Douglas G Henricks | Internal Medicine | Millennium Physician Group LLC | 2450 Tamiami Trl, Suite A, Port Charlotte, FL 33952-3922 |
| Joseph Piccolo | Family Medicine | Millennium Physician Group LLC | 2450 Tamiami Trl, Suite A, Port Charlotte, FL 33952-3922 |
| Find all physicians in zip 33952 | |||
| City | PORT CHARLOTTE |
| Zip Code | 33952 |
| Specialty | UROLOGY |
| City + Specialty | PORT CHARLOTTE + UROLOGY |
Please comment or provide details below to improve the information on Gary L Berger.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.