Jerome A Bergamini, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

021001406 Issued in IL

Practice address

405 S Main St
Naperville, IL 60540-5322

Phone

(630) 357-7273

Fax

(630) 357-6599

NPI assigned

Dec 27, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr. Jerome a. Bergamini Oral & Maxillo Facial Surgery, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Naperville, IL
  • NPI 1144360942

  Oral and Maxillofacial Surgery

  NPD
• Illinois Dental Professionals PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Naperville, IL
  • NPI 1689326175

  Oral and Maxillofacial Surgery

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1013072040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 S. MAIN STREET",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605405322",
            "telephone_number": "630-357-7273",
            "fax_number": "630-357-6599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 S MAIN ST",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605405322",
            "telephone_number": "630-357-7273",
            "fax_number": "630-357-6599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGAMINI",
        "first_name": "JEROME",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IL",
            "license": "019017589",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IL",
            "license": "021001406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David S Bennett, MD
• Kimberly H Bennett, MD
• Rebecca Benson
• Doreen M Berard
• Peggy A Berent, LPC
• Kimberly A. Berger, MS, RDN, LDN, CEDS-C
• Scott A Berger, M.D.
• Leanne Bergey
• Anna Berggreen, RN
• Dawn Bergin, APRN

• All providers in Naperville, IL
• Oral and Maxillofacial Surgery (Dentist) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.