Emily Bergstrom

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

310 Regency Pkwy
Omaha, NE 68114-3791

Phone

(515) 207-5251

NPI assigned

Feb 15, 2024

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

Other names 1

• Torrey Bergstrom Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1164287587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 REGENCY PKWY",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143791",
            "telephone_number": "515-207-5251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 REGENCY PKWY",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143791",
            "telephone_number": "515-207-5251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGSTROM",
        "first_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@stridecenters.com",
            "affiliation": "N",
            "address_1": "310 Regency Pkwy",
            "city": "Omaha",
            "state": "NE",
            "country_code": "US",
            "postal_code": "681143791",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TORREY",
            "last_name": "BERGSTROM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Christopher Bergman, O.D.
• Jessie Lynn Bergman, PHARMD
• Michelle Ann Bergman, OD
• Karl Andrew Bergmann, M.D.
• Chelsea Bergonia
• Kim Bergstrom
• Kristin Goertz Bergstrom
• Megan Bergstrom, DPT
• Lyudmyla Berim, MD
• Christine Thies Berke, APRN-NP

• Behavior Technician in Omaha, NE
• Providers in Omaha, NE by specialty
• Behavior Technician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.