KIMBERLY CHRISTY BERCY – Emergency Medicine Physician, NPI 1104576297

KIMBERLY CHRISTY BERCY is a healthcare provider. based in Miami, Florida. specializing in EMERGENCY MEDICINE. They hold a License No. OS22140 (FL). The NPI Number for KIMBERLY CHRISTY BERCY is 1104576297

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY CHRISTY BERCY
NPI
1104576297
Phone
Not provided
Address
1611 NW 12TH AVE
Enumeration Date
24 March 2022
Last Update Date
2 September 2025

Doctor Profile

Medical School Name
NOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Secondary Phone
3056511100
Graduation Year
2022 (4 years ago)
PAC ID
6800300344
Group Practice PAC ID
5991846370
Professional Enrollment ID
I20250708002400
Address ID
FL331695576NX160XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:4State licenses:1Digital endpointsOther names

3,232 EMERGENCY MEDICINE in FL

Provider Addresses for KIMBERLY CHRISTY BERCY

  • 1611 NW 12TH AVE

    MIAMI, FL 331361005

    Phone:

    Type: Mailing

  • 160 NW 170TH ST

    NORTH MIAMI BEACH, FL 331695576

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-07-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250708002400IEmergency MedicineFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33136)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5991846370View full group profile
NameSpecialtyState
Nurse PractitionerFL
Emergency MedicineFL
Nurse PractitionerFL
-FL
Emergency MedicineFL
Nurse PractitionerFL
Emergency MedicineFL
Emergency MedicineNY
-FL
Emergency MedicineFL

Reviews

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Frequently asked questions

Can I verify KIMBERLY CHRISTY BERCY with an NPI only?
You can start verification with NPI 1104576297 for KIMBERLY CHRISTY BERCY, then check state licensing separately.
Does CMS list KIMBERLY CHRISTY BERCY as active?
Yes — KIMBERLY CHRISTY BERCY is active in the NPI listing used on this page.
What healthcare role does KIMBERLY CHRISTY BERCY hold?
Scheduling teams often label KIMBERLY CHRISTY BERCY under Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for KIMBERLY CHRISTY BERCY?
KIMBERLY CHRISTY BERCY's geographic hint is Miami, Florida in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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EMERGENCY PHYSICIAN ENTERPRISES

Emergency Medicine Physician
PO BOX 166274
NPI: 1871588897