Organization Active NPI

Karen a. Bergman

  • Chiropractor
  • Saint Louis, MO
National Provider Identifier
1265612253
Registry record updated Jul 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
006780 Issued in MO
Legal business name
KAREN A. BERGMAN
Practice address
4717 Hampton Ave
Saint Louis, MO 63109-2720
Phone
(314) 352-0834
Fax
(314) 351-6411
NPI assigned
Nov 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Karen Bergman Ann Bergman, D.C.
Title
Doctor
Phone
(314) 352-0834

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 006780 MO Primary

Addresses

Primary practice location

4717 Hampton Ave
Saint Louis, MO 63109-2720

Mailing address

4717 Hampton Ave
Saint Louis, MO 63109-2720
Phone (314) 352-0834

National Provider Directory

National Provider Directory

Locations

4717 Hampton Ave
Saint Louis, MO 63109
Phone (314) 352-0834

NPI Registry JSON

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374019200000",
    "number": "1265612253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4717 HAMPTON AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631092720",
            "telephone_number": "314-352-0834",
            "fax_number": "314-351-6411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4717 HAMPTON AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631092720",
            "telephone_number": "314-352-0834",
            "fax_number": "314-351-6411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN A. BERGMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2013-07-17",
        "status": "A",
        "authorized_official_last_name": "BERGMAN",
        "authorized_official_first_name": "KAREN BERGMAN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "314-352-0834",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "006780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; 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.