Bergen Dougherty

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN711847 Issued in PA

Practice address

801 Ostrum St
Bethlehem, PA 18015-1000

Phone

(610) 954-5810

Fax

(610) 954-5480

NPI assigned

Feb 10, 2021

Sex

Female

Sole proprietor

No

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

Enrolled in PA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anesthesia Specialists of Bethlehem PCGroup PAC ID 1355254533, 283 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Luke'S Miners Memorial Hospital Hospital, Coaldale, PA, CCN 390183
• Geisinger St. Luke'S Hospital Hospital, Orwigsburg, PA, CCN 390332
• St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

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.

• Anesthesia Specialists of Bethlehem, PC

  • Anesthesiology Physician
  • Bethlehem, PA
  • NPI 1851349302

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Anesthesia Specialists of Warren, LLC

  • Anesthesiology Physician
  • Phillipsburg, NJ
  • NPI 1104354422
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• GSL Hospital

  • General Acute Care Hospital
  • Orwigsburg, PA
  • NPI 1265096069
  Care Compare affiliation
• St Luke'S Hospital

  • General Acute Care Hospital
  • Allentown, PA
  • NPI 1366011413
  Care Compare affiliation
• St Luke'S Hospital

  • General Acute Care Hospital
  • Easton, PA
  • NPI 1376339226
  Care Compare affiliation
• St Luke'S Hospital

  • General Acute Care Hospital
  • Lehighton, PA
  • NPI 1528737988
  Care Compare affiliation
• St Lukes Hospital

  • General Acute Care Hospital
  • Bethlehem, PA
  • NPI 1013933175
  Care Compare affiliation
• St. Luke'S Hospital

  • General Acute Care Hospital
  • Allentown, PA
  • NPI 1548293954
  Care Compare affiliation
• St. Luke'S Hospital Bethlehem

  • Adult Mental Health Clinic/Center
  • Lehighton, PA
  • NPI 1962094920

  Hospital

  Care Compare affiliation
• The Carbon-Schuylkill Community Hospital, Inc.

  • General Acute Care Hospital
  • Coaldale, PA
  • NPI 1437182847
  Care Compare affiliation

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

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1174115166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5520",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180150520",
            "telephone_number": "610-954-5810",
            "fax_number": "610-954-5480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 OSTRUM ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151000",
            "telephone_number": "610-954-5810",
            "fax_number": "610-954-5480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGHERTY",
        "first_name": "BERGEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-10",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN711847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anitra Dorsey
• Courtney Dostal, DO
• Joseph B Doto Jr., MD
• Melissa Dotter
• Timothy Paul Dotzler, D.O.
• Mary Dougherty, OTR/L
• Mary A Dour, RN, APN,C
• Megan Dowd, MD
• Zachary Michael Downey, ATC, CSCS
• Patricia Gail Downing-Rasich, M.S.W.

• Certified Registered Nurse Anesthetist in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• Certified Registered Nurse Anesthetist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.