Mary F. Bergum, MD, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD00042807 Issued in WA

Legal business name

MARY F. BERGUM, MD, PLLC

Doing business as

Mary F. Bergum, MD

Practice address

3154 E 29TH Ave
Spokane, WA 99223-4852

Phone

(509) 448-4870

Fax

(800) 976-4305

NPI assigned

May 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mary F. Bergum, MD

Title

Owner

Phone

(509) 448-4870

Specialties & licenses 1

Addresses

Other names 1

• Mary F. Bergum, MD Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584576000000",
    "number": "1063625150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3154 E 29TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992234852",
            "telephone_number": "509-448-4870",
            "fax_number": "800-976-4305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3154 E 29TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992234852",
            "telephone_number": "509-448-4870",
            "fax_number": "800-976-4305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY F. BERGUM, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A",
        "authorized_official_last_name": "BERGUM",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-448-4870",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00042807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mary F. Bergum, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christine Maria Martinz, LMHC, NCC
• Alyssa Martsching, ARNP CNM
• Peter Martsin, RPH
• Robert D Martz, M.D.
• Caitlyn Martzall, BSW
• Mary Kay Hall, MSW, LLC
• Mary Krempasky Smith, DDS, PLLC
• Marycliff Psychotherapy Services, Inc.
• Danielle Mascarenas, M.D.
• Cecelia J Mashburn

• Family Medicine Physician in Spokane, WA
• Providers in Spokane, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.