John Bergman, M.D. LTD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

JOHN BERGMAN, M.D. LTD

Practice address

825 Nicollet Mall
Suite 1227
Minneapolis, MN 55402-2606

Phone

(612) 339-4843

Fax

(612) 339-9168

NPI assigned

Jul 11, 2008

Organization subpart

No

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

Authorized official

Name

John Bergman, M.D.

Title

Owner

Phone

(612) 339-4843

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1265696959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 NICOLLET MALL",
            "address_2": "SUITE 1227",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554022606",
            "telephone_number": "612-339-4843",
            "fax_number": "612-339-9168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 NICOLLET MALL",
            "address_2": "SUITE 1227",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554022606",
            "telephone_number": "612-339-4843",
            "fax_number": "612-339-9168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN BERGMAN, M.D. LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-11",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "BERGMAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-339-4843",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katy-Cecilie Johannessen, DC
• Ronald A Johannsen, MD
• Kirsten Lee Johansen, MD
• Julieanne Ball Johanson, MD
• John a. Haugen Associates, P.a.
• John F O'Leary MD PA
• John G. Stark M.D.P.a.
• John N. O'Neil, PH.D., L.P., LLC
• Andrew Lyle John, PSYD, LP
• Dona Mary John

• Dermatology Physician in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Dermatology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; 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.