Ronald Steven Bergman, D.O.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

01839 Issued in IA

Practice address

2000 Grand Ave
Des Moines, IA 50312-4920

Phone

(515) 222-1111

Fax

(515) 244-9914

NPI assigned

Aug 12, 2005

Last updated

Mar 31, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Bergman Cosmetic Surgery, PC

  • Plastic Surgery Physician
  • Des Moines, IA
  • NPI 1689629503
  Authorized official Same address or phone
• Urban Effects Medspa Inc.

  • Family Nurse Practitioner
  • Clive, IA
  • NPI 1649560236
  NPD (past)

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459382400000",
    "number": "1124020805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 GRAND AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503124920",
            "telephone_number": "515-222-1111",
            "fax_number": "515-244-9914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 GRAND AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503124920",
            "telephone_number": "515-222-1111",
            "fax_number": "515-244-9914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGMAN",
        "first_name": "RONALD",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2016-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "IA",
            "license": "01839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bergman Cosmetic Surgery, PC
• Bradley David Bergman, D.O.
• Jacob Bergman
• James Jay Bergman, M.D.
• Megan Bergman, PA-C
• Miranda Bergmann, ARNP
• Steffany Bergmann, LMSW
• Holley A Bermel, D.O.
• Thomas Bern
• Andrew Bernard, D.O

• Plastic Surgery Physician in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Plastic Surgery Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; 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.