Myrtle Ridge Family Medicine, PA
NPI 1427195809 · Family Medicine Physician · Lutz, FL
Myrtle Ridge Family Medicine, PA is a Family Medicine Physician organization in Lutz, FL (NPI 1427195809).
Provider details
- NPI number
- 1427195809
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jack Bergh, Ceo(813) 909-7102
- License
- ME0056971 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-02-01
- Last updated
- 2013-01-10
Frequently asked questions
- What is Myrtle Ridge Family Medicine, PA's NPI number?
- Myrtle Ridge Family Medicine, PA's National Provider Identifier (NPI) is 1427195809, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Myrtle Ridge Family Medicine, PA?
- Myrtle Ridge Family Medicine, PA is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Myrtle Ridge Family Medicine, PA located?
- Myrtle Ridge Family Medicine, PA's practice location on file with NPPES is 1539 Dale Mabry Hwy, Lutz, FL 33548-3008.
- What is Myrtle Ridge Family Medicine, PA's phone number?
- The practice phone number listed in the NPPES registry for Myrtle Ridge Family Medicine, PA is (813) 909-7102.
- Who is the authorized official for Myrtle Ridge Family Medicine, PA?
- The authorized official listed on Myrtle Ridge Family Medicine, PA's NPPES record is Jack Bergh, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Myrtle Ridge Family Medicine, PA's NPI active?
- Yes — Myrtle Ridge Family Medicine, PA's NPI (1427195809) is active in the NPPES registry as of the last update on 2013-01-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.