Suzanne M Bergman, MD
Individual provider Active NPI Nephrology Physician · Birmingham, AL
NPI 1174578439 · NPPES record last updated Jun 30, 2023
Key facts
- NPI
- 1174578439
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nephrology Physician 207RN0300X
- License
- 04117 (AL)
- Practice address
- 619 19TH Street South
Birmingham, AL 35233 - Phone
- (205) 934-6600
- NPI assigned
- May 24, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04117 | AL | MD | Nephrology Physician |
Interoperability endpoints
- sbergman@direct.uabmedicine.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 4117 | AL | |
| Nephrology Physician | 207RN0300X | 04117 | AL | Yes |
Addresses
Primary practice location
619 19TH Street South
Birmingham, AL 35233
Mailing address
PO Box 55310
Birmingham, AL 35255-5310
Phone (205) 731-9701
Other practice location 1
2000 6th Ave S
Birmingham, AL 35233-2110
Phone (205) 934-1170
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D04143 | Other | AL | VIVA |
| 000084085 | Other | AL | BLUE CROSS |
| 04405790 | Medicaid | MS | |
| 000084085 | Medicaid | AL | |
| 4402466 | Medicaid | TN | |
| 700008332 | Other | AL | RAILROAD MEDICARE |
| 00006170 | Other | AL | HEALTHSPRING |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sbergman@direct.uabmedicine.org | Direct | University of Alabama Hospital |
Other providers in Birmingham, AL
- Abigail Catherine Berger
- Chelsea Alanah Berger
- Julia Randolph Berger
- Michael Fabian Berger
- Stephanie Berger
- Matthew David Berke
- Brittany Christine Berkopec
- Patricia Lois Berkow
- Dan Berkowitz
- Berkshire Enterprises, Inc
All providers in Birmingham, AL · Nephrology Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.