Andrew Bergman, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

301586 Issued in CA

Practice address

925 Wilshire Blvd Ste a
Santa Monica, CA 90401-1891

Phone

(310) 319-0090

NPI assigned

Dec 23, 2021

Last updated

Jan 24, 2022By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aim Sports Medicine and Physical Therapy Inc

  • Physical Therapist
  • Hermosa Beach, CA
  • NPI 1740304708
  Medicare reassignment NPD
• California Luna Care Physical Therapy PC

  • Physical Therapist
  • Los Gatos, CA
  • NPI 1689162166
  Medicare reassignment NPD
• Evolution Physical Therapy, Inc

  • Physical Therapist
  • Culver City, CA
  • NPI 1174601116
  Medicare reassignment NPD
• Frank E Kaden D C Chiropractic Inc

  • Chiropractor
  • Hermosa Beach, CA
  • NPI 1992824700
  NPD
• Next Phase Medical PC

  • General Practice Physician
  • Culver City, CA
  • NPI 1821961863
  NPD (past)

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

{
    "created_epoch": "1640217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1245990753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 BATRIS CT",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021872",
            "telephone_number": "818-216-9032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 WILSHIRE BLVD STE A",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011891",
            "telephone_number": "310-319-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGMAN",
        "first_name": "ANDREW",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-23",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "301586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Richard Benson, M.D.
• Stephen C. Berens, M.D.
• Rachel Bereny
• Michele Maika Berg, LMFT
• Gary H Berger, RPH
• Gary Robert Bergner, LVN
• Lia Berjis, MS, RD
• Berkley West Convalescent Hospital, Inc
• Bonnie Berman, PH.D.
• Jack Berman, MD

• Physical Therapist in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.