Individual provider Active NPI

John J Bergin, MD

  • Radiation Oncology Physician
  • Lake City, FL
National Provider Identifier
1073040382
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
ME168285 Issued in FL
Practice address
4520 W US Highway 90
Lake City, FL 32055-8341
Phone
(386) 755-0601
Fax
(386) 755-0602
NPI assigned
May 17, 2017
Last updated
Mar 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X ME168285 FL Primary

Addresses

Primary practice location

4520 W US Highway 90
Lake City, FL 32055-8341

Mailing address

PO Box 931887
Atlanta, GA 31193-1887
Phone (888) 802-9885

Other practice location 1

289 SW Stonegate Ter Ste 103
Lake City, FL 32024-3457
Phone (386) 755-1655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220823003888 WY Practitioner - Radiation Oncology 2466790118 Reassigns benefits to 1 organization
I20241203003050 FL Practitioner - Radiation Oncology 2466790118 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Iowa, RJ & L Carver College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake City Cancer Care LLCGroup PAC ID 7315250685, 8 clinicians

Practice addresses (Care Compare)

289 SW Stonegate Ter
Suite 103
Lake City, FL 32024-3457
Phone (386) 755-1655

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME168285FLMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake City Cancer Care LLC Radiation Oncology CurrentSince Jan 6, 2025 Accepting new patients
Campbell County Hospital District CurrentSince Aug 1, 2022 Accepting new patients
Campbell County Hospital District Current Accepting new patients
Cancer Care of North Florida PA CurrentSince Nov 17, 2024 Accepting new patients
Campbell County Hospital District Current Accepting new patients
Campbell County Hospital District CurrentSince Aug 1, 2022 Accepting new patients

Locations

289 SW Stonegate Ter
Ste 103
Lake City, FL 32024
Phone (386) 755-1655

4520 W US Highway 90
Lake City, FL 32055
Phone (386) 755-0601

104 Woodmont Blvd
Ste 500
Nashville, TN 37205
Phone (615) 467-7400

501 S Burma Ave
Gillette, WY 82716
Phone (307) 682-8811

Interoperability endpoints

  • Direct secure messaging: john.bergin@ionetwork.direct.varian.com

Organizations & group practices 6

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1494979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1073040382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 931887",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311931887",
            "telephone_number": "888-802-9885",
            "fax_number": "615-783-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4520 W US HIGHWAY 90",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320558341",
            "telephone_number": "386-755-0601",
            "fax_number": "386-755-0602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "289 SW Stonegate Ter Ste 103",
            "address_purpose": "LOCATION",
            "city": "Lake City",
            "state": "FL",
            "postal_code": "320243457",
            "country_code": "US",
            "telephone_number": "386-755-1655",
            "fax_number": "386-628-9231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERGIN",
        "first_name": "JOHN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-17",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "ME168285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, FL

Sources for this page

Verify at the official NPI Registry.