Jack Alton Bergh, MD
Family Medicine Physician · Lutz, FL
Jack Alton Bergh, MD is a family medicine physician with a practice address in Lutz, Florida, and NPI 1376506394, issued on Apr 10, 2006. Check the license (Florida ME0056971, as entered in NPPES) on the Florida health license search; the Medicare figures below come from public CMS files.
- Name
- Jack Alton Bergh
- Credential
- MD
- Primary taxonomy
- Family Medicine Physician 207Q00000X
- License number
- ME0056971 FL
Self-reported in NPPES; status is on the state search - Practice location
- 1539 Dale Mabry Hwy Ste 102, Lutz, FL 33548
- Phone
- (813) 909-7102
- Enumerated
- Apr 10, 2006
- Record last updated
- Jan 8, 2013 (not updated in 13 years: call before relying on the address or phone)
- Fax
- (813) 909-0199
- Medicaid ID
- 770008300 FL
- Entity
- Type 1 · individual
Also registered at 1539 Dale Mabry Hwy Ste 102
A shared address usually means a shared clinic or building; it does not show who employs whom.
- George Dorta Chapin, PAPhysician Assistant1457178071
- Dayana Fernandez-Pacheco Gorrin, CBHCMSCase Manager/Care Coordinator1942018809
- Taniabex Lopez Garcia, MSWSocial Worker1134009202
- Raul Medina Rojo, MSN, APRN, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner1548986987
- Yudaisy Mogena Padron, PAPhysician Assistant1831800218
Verify Jack Alton Bergh in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersFlorida health license search
Search for license ME0056971Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
The MIPS final score for 2023 (Medicare payment program): 84.9 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
25 family medicine physician records list a practice address in Lutz
They are 25 of the 1,419 NPPES records with a practice address in Lutz, and 9,399 family medicine physician records in Florida.
All 25 in Lutz → All 9,399 in Florida → Every provider in Lutz →
Other family medicine physician records in Florida
- Kellie Aarons, MDTampa, FL1558865477
- Jacob Aaronson, D.O., M.A.Hollywood, FL1710957444
- Zoilo Abad, MDMiami, FL1649229568
- Flor Abalos Escalona, APRN-FNPMiami, FL1639992498
- Aschanti Abarca Selva, M.DNaples, FL1891082467
- Syed Abbas, DOSebring, FL1811637655
- Nader Abdallah, D.O.Belle Glade, FL1649519455
- Oday Abdallah, D.O.Lakeland, FL1578993754
- Hanie Abdel Masih, D.O.Jacksonville, FL1003202458
- Ayman Abdou, M.D.Lauderdale Lakes, FL1346352374
Common questions
What is Jack Alton Bergh, MD's NPI number?
Jack Alton Bergh, MD's National Provider Identifier (NPI) is 1376506394, issued on Apr 10, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Jack Alton Bergh, MD located?
The NPPES record lists a practice address at 1539 Dale Mabry Hwy Ste 102, Lutz, FL, 33548. Phone: (813) 909-7102. Providers update this record themselves, so call before visiting.
How can I verify Jack Alton Bergh, MD's license?
NPPES lists Florida license number ME0056971, as entered by the provider. Search the Florida health license search at https://mqa-internet.doh.state.fl.us/mqasearchservices/healthcareproviders. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
What is Jack Alton Bergh, MD's MIPS final score?
The 2023 MIPS final score is 84.9 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.