Active NPI
Linda Marie Bergman, RN,WHCNP
- Women's Health Nurse Practitioner
- Van Nuys, CA
National Provider Identifier
1144587726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- NP7610
- Practice address
- 15243 Vanowen St Ste 501
Van Nuys, CA 91405-3600 - Phone
- (818) 781-2330
- NPI assigned
- Apr 19, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Inpatient Obstetric Registered Nurse | 163WX0003X | RN449968 | CA | |
| Women's Health Nurse Practitioner | 363LW0102X | NP7610 | CA | Primary |
Addresses
Primary practice location
15243 Vanowen St Ste 501
Van Nuys, CA 91405-3600
Mailing address
15243 Vanowen St Ste 501
Van Nuys, CA 91405-3600
Phone (818) 781-2330
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | linda.bergman.p1@direct.eisnerhealth.nextgenshare.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221116002172 | CA | Order and Referring Only - Nurse Practitioner | 9436527884 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN449968 | CA | MD | Inpatient Obstetric Registered Nurse |
| NP7610 | CA | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| OB-GYN Medical Group | Past | Accepting new patients |
Interoperability endpoints
- linda.bergman.1@28334.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Obstetrics & Gynecology Physician
- Van Nuys, CA
- NPI 1235351388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615334400000",
"number": "1144587726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15243 VANOWEN ST STE 501",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914053600",
"telephone_number": "818-781-2330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15243 VANOWEN ST STE 501",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914053600",
"telephone_number": "818-781-2330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGMAN",
"first_name": "LINDA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "RN,WHCNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-19",
"last_updated": "2021-03-10",
"certification_date": "2021-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "163WX0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Obstetric, Inpatient",
"state": "CA",
"license": "RN449968",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "CA",
"license": "NP7610",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "linda.bergman.p1@direct.eisnerhealth.nextgenshare.com",
"affiliation": "N",
"endpointDescription": "NextGenShare, Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1530 S Olive St",
"city": "Los Angeles",
"state": "CA",
"country_code": "US",
"postal_code": "900153023",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; 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.