The Bergand Group LLC

Primary specialty

Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X

Legal business name

THE BERGAND GROUP LLC

Practice address

1300 York Rd
Lutherville, MD 21093-6016

Phone

(410) 853-7691

NPI assigned

Sep 28, 2018

Organization subpart

No

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

Authorized official

Name

Craig Howard Lippens

Title

Director

Phone

(410) 853-7691

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Bergand Group4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Bergand Group

  • Adult Mental Health Clinic/Center
  • Fallston, MD
  • NPI 1184119448
  NPD tax ID
• Bergand Group

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lutherville, MD
  • NPI 1407113483
  NPD tax ID
• Bergand Group

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lutherville, MD
  • NPI 1962055343
  NPD tax ID

Locations

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

{
    "created_epoch": "1538092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538092800000",
    "number": "1063997708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 YORK RD",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210936016",
            "telephone_number": "410-853-7691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 YORK RD",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210936016",
            "telephone_number": "410-853-7691"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 York Rd",
            "address_purpose": "LOCATION",
            "city": "Lutherville",
            "state": "MD",
            "postal_code": "210936016",
            "country_code": "US",
            "telephone_number": "410-853-7691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE BERGAND GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-28",
        "last_updated": "2018-09-28",
        "status": "A",
        "authorized_official_last_name": "LIPPENS",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "410-853-7691"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "990845",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "741082",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Addiction Medicine (Psychiatry & Neurology) Physician in Lutherville, MD
• Providers in Lutherville, MD by specialty
• Addiction Medicine (Psychiatry & Neurology) Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2018; 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.