Kenneth Bergsman, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301028293 Issued in MI

Practice address

27207 Lahser Rd
Suite 200 B
Southfield, MI 48034-2168

Phone

(248) 358-4892

NPI assigned

Jun 12, 2006

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kbergsma@direct.dmc.org

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.

• John Haapaniemi& Barry Lesser PTR,Haapaniemi Lesser Associated

  • Pulmonary Disease Physician
  • Detroit, MI
  • NPI 1346273372
  NPD (past)
• Northwest Detroit Dialysis Center LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Southfield, MI
  • NPI 1295047710
  NPD (past)

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282089600000",
    "number": "1164464913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 321061",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482321061",
            "telephone_number": "248-543-8070",
            "fax_number": "248-543-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27207 LAHSER RD",
            "address_2": "SUITE 200 B",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480342168",
            "telephone_number": "248-358-4892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGSMAN",
        "first_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2010-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301028293",
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MI",
            "license": "4301028293",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4482104",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Ashley Berg
• Gregory E Berger, M.D.
• Ryan Joseph Berger, MD
• Shulamit Berger
• Jeremy Bergeron, LMSW
• Joseph Paul Bergum, OTR
• Shenette Berkley
• Gail Berkove, PHD
• Anjanette Berkshire
• Jay M Berman, MD

• Internal Medicine Physician in Southfield, MI
• Providers in Southfield, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; 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.