Active NPI
Heather Lyn Bergfors, D.C.
- Chiropractor
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CM00034169
- Practice address
- 2719 E Madison St
Suite 203
Seattle, WA 98112-4752 - Phone
- (206) 568-7545
- Fax
- (206) 568-8298
- NPI assigned
- May 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CM00034169 | WA | Primary |
Addresses
Primary practice location
2719 E Madison St
Suite 203
Seattle, WA 98112-4752
Mailing address
4742 42ND Ave SW
PMB #527
Seattle, WA 98116-4553
Phone (206) 914-3417
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2719 E Madison St
Suite 203
Seattle, WA 98112-4752
Phone (205) 568-7545
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CM00034169 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heather L .Bergfors DC PS | Current | Accepting new patients | |
| Treehouse Ventures NW, Inc | Past | Accepting new patients |
Locations
5001 California Ave SW
Ste 111
Seattle, WA 98136
Phone (206) 257-4126
2719 E Madison St
Ste 203
Seattle, WA 98112
Phone (206) 568-7545
4742 42nd Ave SW
Seattle, WA 98116
Phone (206) 595-4181
Networks
- WA PPO C-SNP
- devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
Organizations & group practices 2
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.
-
- Orthopedic Chiropractor
- Seattle, WA
- NPI 1457684136
-
- Acupuncturist
- Seattle, WA
- NPI 1912101130
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252627200000",
"number": "1013962976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4742 42ND AVE SW",
"address_2": "PMB #527",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981164553",
"telephone_number": "206-914-3417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2719 E MADISON ST",
"address_2": "SUITE 203",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981124752",
"telephone_number": "206-568-7545",
"fax_number": "206-568-8298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGFORS",
"first_name": "HEATHER",
"middle_name": "LYN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-22",
"last_updated": "2009-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CM00034169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.