Barbara Bergmann

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

License

PY4399 Issued in FL

Practice address

1401 S Federal Hwy
Fort Lauderdale, FL 33316-2619

Phone

(954) 728-1117

Fax

(954) 779-2316

NPI assigned

Apr 12, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Childrens Diagnostic & Treatment Center Inc

  • Pediatrics Physician
  • Fort Lauderdale, FL
  • NPI 1437245529
  Medicare reassignment NPD
• Childrens Diagnostic & Treatment Center Inc

  • Physical Therapist
  • Fort Lauderdale, FL
  • NPI 1679790786
  NPD
• Childrens Diagnostic & Treatment Center Inc

  • Pharmacy
  • Fort Lauderdale, FL
  • NPI 1720742786
  NPD

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1124242045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 S FEDERAL HWY",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162619",
            "telephone_number": "954-728-1117",
            "fax_number": "954-779-2316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S FEDERAL HWY",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162619",
            "telephone_number": "954-728-1117",
            "fax_number": "954-779-2316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGMANN",
        "first_name": "BARBARA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY4399",
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "FL",
            "license": "PY4399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "810700900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alden A Bergeron, RD
• Austin Charles Bergeron, PA-C
• John B Berges, MD
• Bergman Integrative Medicine
• Mary Lee Bergman, A.P.
• Peter B Berkey, M.D.
• Carol J Berkus
• John Berland, PT, DPT
• Becky Berlin, CRNA
• Julian Berlin, D.D.S.

• Developmental Therapist in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Developmental Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.