DAVID WILLIAM BAMBERGER (PA) – Medical Physician Assistant, NPI 1568573202

DAVID WILLIAM BAMBERGER (PA) is a healthcare provider. based in Daytona beach, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA2661 (FL). The NPI Number for DAVID WILLIAM BAMBERGER (PA) is 1568573202

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
DAVID WILLIAM BAMBERGER (PA)
NPI
1568573202
Phone
(386) 677-5351
Address
305 MEMORIAL MEDICAL PKWY
Enumeration Date
31 August 2006
Last Update Date
20 January 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3866151521
Graduation Year
1989 (37 years ago)
PAC ID
9234387267
Group Practice PAC ID
2567622954
Professional Enrollment ID
I20120918000184
Address ID
FL321175121DA103XXPKWY411
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

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Provider Addresses for DAVID WILLIAM BAMBERGER (PA)

  • 305, Memorial Medical Parkway, Daytona Beach, Volusia County, Florida, 32117, United States

    STE 301

    DAYTONA BEACH, FL 321175168

    Phone: (386) 677-5351

    Fax: (386) 673-2787

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 43 Open Payments records for all available years, with a total value of $1,051.

Total Amount is formed as General ($1,051) + Research ($0) + Ownership ($0) = $1,051.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Abbott Laboratories ($460).

Total Amount

$1,051

General + Research + Ownership

Payments

43

Total payment records

General Amount

$1,051

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2012-09-18

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
I20120918000184IPhysician AssistantFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes213200$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report3533$0
99213Established patient office or other outpatient visit, 20-29 minutes2020$0
View full utilization report →

Insurance plans in this area (ZIP 32117)

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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: 2567622954View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Internal MedicineFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Physician AssistantFL
Interventional Cardiology, Cardiovascular Disease (Cardiology)FL
Cardiovascular Disease (Cardiology), Internal MedicineFL
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineFL
Nurse PractitionerFL
Cardiovascular Disease (Cardiology), Internal Medicine, Peripheral Vascular DiseaseFL

Reviews

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Frequently asked questions

How do I look up DAVID WILLIAM BAMBERGER (PA) by NPI?
Use NPI 1568573202 when you need to reference DAVID WILLIAM BAMBERGER (PA) in forms, claims, or directories.
Does this profile mean DAVID WILLIAM BAMBERGER (PA) is currently active?
Yes — DAVID WILLIAM BAMBERGER (PA) appears active in the national provider directory.
What does DAVID WILLIAM BAMBERGER (PA) treat or focus on?
Patients typically see DAVID WILLIAM BAMBERGER (PA) under the specialty Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where does public data place DAVID WILLIAM BAMBERGER (PA)?
The snapshot lists Daytona Beach, Florida for DAVID WILLIAM BAMBERGER (PA); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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