John Roy Bergman, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC25409 Issued in CA

Practice address

18582 Beach Blvd
#22
Huntington Beach, CA 92648-2000

Phone

(714) 962-5891

Fax

(714) 962-5820

NPI assigned

Oct 18, 2007

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192665600000",
    "number": "1124217807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18582 BEACH BLVD",
            "address_2": "#22",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926482000",
            "telephone_number": "714-962-5891",
            "fax_number": "714-962-5820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18582 BEACH BLVD",
            "address_2": "#22",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926482000",
            "telephone_number": "714-962-5891",
            "fax_number": "714-962-5820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGMAN",
        "first_name": "JOHN",
        "middle_name": "ROY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-18",
        "last_updated": "2007-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC25409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Lynn Bennett, M.D.
• Paula Joyce Bennett, PSY.D.
• Dean Mitchell Benson, D.C.
• Chloe Anne Benton
• Pamela I Berg, PH.D.
• Rochel Bermundo
• Christian Bernal
• Sabine Bernbeck, MD
• Margarita J Bernett, M.D.
• Clifford A. Bernstein, M.D.

• Chiropractor in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.