Active NPI
Richard William Bergida, DO
- Optician
- Delray Beach, FL
National Provider Identifier
1053425488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- DO 1387
- Practice address
- 1715 S Federal Hwy
Suite C-1
Delray Beach, FL 33483-3329 - Phone
- (561) 276-5099
- Fax
- (561) 274-9697
- NPI assigned
- Aug 19, 2006
- Last updated
- Jun 25, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Optician | 156FX1800X | DO 1387 | FL | Primary |
Addresses
Primary practice location
1715 S Federal Hwy
Suite C-1
Delray Beach, FL 33483-3329
Mailing address
1715 S Federal Hwy
Suite C-1
Delray Beach, FL 33483-3329
Phone (561) 276-5099
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO 1387 | FL | MD | Optician |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Customized Equipment (DME)
- Delray Beach, FL
- NPI 1740273879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214352000000",
"number": "1053425488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1715 S FEDERAL HWY",
"address_2": "SUITE C-1",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334833329",
"telephone_number": "561-276-5099",
"fax_number": "561-274-9697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1715 S FEDERAL HWY",
"address_2": "SUITE C-1",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334833329",
"telephone_number": "561-276-5099",
"fax_number": "561-274-9697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGIDA",
"first_name": "RICHARD",
"middle_name": "WILLIAM",
"name_prefix": "Mr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-19",
"last_updated": "2008-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "FL",
"license": "DO 1387",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Delray Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.