Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack Alton Bergh, MD

Individual provider Family Medicine Physician · NPI 1376506394

Jack Alton Bergh, MD is a Family Medicine Physician in Lutz, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1539 Dale Mabry Hwy Ste 102
Lutz, FL 33548
Phone: (813) 909-7102
Fax: (813) 909-0199
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME0056971 (FL)

Record details

NPI number1376506394
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 10, 2006
Last updated in NPPESJanuary 8, 2013
Mailing address14743 Morning Dr, Lutz, FL 33559-3257

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