Active NPI
John J Bergin, MD
- Radiation Oncology Physician
- Lake City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- ME168285
- 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, 2026
- 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 |
|---|---|---|---|---|
| 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, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| ME168285 | FL | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake City Cancer Care LLC | Radiation Oncology | Current | Accepting new patients |
| Campbell County Hospital District | Current | Accepting new patients | |
| Campbell County Hospital District | Current | Accepting new patients | |
| Cancer Care of North Florida PA | Current | Accepting new patients | |
| Campbell County Hospital District | Current | Accepting new patients | |
| Campbell County Hospital District | Current | 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
- 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.
-
dba Cancer Care of North Florida & Urology Medical of North Florida
- Hematology & Oncology Physician
- Lake City, FL
- NPI 1396132213
Radiation Oncology
-
dba Campbell County Medical Group - Internal Medicine Clinic
- Internal Medicine Physician
- Gillette, WY
- NPI 1710098868
-
- Medical Oncology Physician
- Lake City, FL
- NPI 1790728947
-
dba Campbell County Medical Group-Anesthesiology
- Anesthesiology Physician
- Gillette, WY
- NPI 1417461914
-
dba Behavioral Health Services
- Substance Use Disorder Rehabilitation Clinic/Center
- Gillette, WY
- NPI 1881730141
-
dba Campbell County Health
- Community/Retail Pharmacy
- Gillette, WY
- NPI 1992874218
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Florida Lake City Hospital
- General Acute Care Hospital
- Lake City, FL
- NPI 1992751879
-
- General Acute Care Hospital
- Gillette, WY
- NPI 1487638417
-
dba Powder River Surgery Center
- Ambulatory Surgical Clinic/Center
- Gillette, WY
- NPI 1780738153
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.