JACK ALTON BERGH (MD) – Family Medicine Physician, NPI 1376506394

JACK ALTON BERGH (MD) is a healthcare provider. based in Lutz, Florida. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. ME0056971 (FL). The NPI Number for JACK ALTON BERGH (MD) is 1376506394

Main info

Male
Name
JACK ALTON BERGH (MD)
NPI
1376506394
Phone
(813) 975-4743
Address
14743 MORNING DR
Enumeration Date
10 April 2006
Last Update Date
8 January 2013
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for JACK ALTON BERGH (MD)

  • 14743 MORNING DR

    LUTZ, FL 335593257

    Phone: (813) 975-4743

    Type: Mailing

  • North Dale Mabry Highway, Holly Lake Estates, Lutz, Hillsborough County, Florida, 33558, United States

    LUTZ, FL 33548

    Phone: (813) 909-7102

    Fax: (813) 909-0199

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $108.

Total Amount is formed as General ($108) + Research ($0) + Ownership ($0) = $108.

Last reported payment date: 2023-04-20 • Largest payer in this snapshot: ABBVIE INC. ($108).

Total Amount

$108

General + Research + Ownership

Payments

1

Total payment records

General Amount

$108

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-20

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$108
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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 33559)

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Provider's Procedures

JACK ALTON BERGH (MD) performs procedures in Family Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEFL81002Urinalysis, manual test2118

Reviews

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Frequently asked questions

Does JACK ALTON BERGH (MD) have a public NPI I can cite?
Public records show JACK ALTON BERGH (MD) under NPI 1376506394.
Is JACK ALTON BERGH (MD) currently accepting referrals based on NPI status?
Registry metadata lists JACK ALTON BERGH (MD) as active.
Which specialty label fits JACK ALTON BERGH (MD)?
NPPES ties JACK ALTON BERGH (MD) to Family Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit JACK ALTON BERGH (MD) in Lutz, Florida?
For routing, start with Lutz, Florida for JACK ALTON BERGH (MD), then verify phone and hours locally.
Can I export JACK ALTON BERGH (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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