Active NPI
Harveen Bal Bergquist, MD
- Emergency Medicine Physician
- Washington, DC
National Provider Identifier
1265727622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- A148663
- Practice address
- 900 23Rd St NW
Washington, DC 20037-2342 - Phone
- (202) 741-2911
- NPI assigned
- Jun 14, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 000000 | NJ | |
| Surgery Physician | 208600000X | MT200429 | PA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | MT200429 | PA | |
| Emergency Medicine Physician | 207P00000X | A148663 | CA | Primary |
Addresses
Primary practice location
900 23Rd St NW
Washington, DC 20037-2342
Mailing address
PO Box 31309
Los Angeles, CA 90031-0309
Phone (213) 977-2121
Other practice location 1
1 Cooper Plz
Keleman Building 152
Camden, NJ 08103-1461
Phone (856) 342-2351
Other practice location 2
1 Cooper Plz
Keleman Building 152
Camden, NJ 08103
Phone (856) 342-2351
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A148663 | CA | MD | Emergency Medicine Physician |
| MT200429 | PA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682985600000",
"number": "1265727622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31309",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900310309",
"telephone_number": "213-977-2121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 23RD ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200372342",
"telephone_number": "202-741-2911"
}
],
"practiceLocations": [
{
"address_1": "1 Cooper Plz",
"address_2": "Keleman Building 152",
"address_purpose": "LOCATION",
"city": "Camden",
"state": "NJ",
"postal_code": "081031461",
"country_code": "US",
"telephone_number": "856-342-2351",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Cooper Plz",
"address_2": "Keleman Building 152",
"address_purpose": "LOCATION",
"city": "Camden",
"state": "NJ",
"postal_code": "08103",
"country_code": "US",
"telephone_number": "856-342-2351",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERGQUIST",
"first_name": "HARVEEN",
"middle_name": "BAL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-14",
"last_updated": "2023-05-02",
"certification_date": "2023-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NJ",
"license": "000000",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MT200429",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PA",
"license": "MT200429",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A148663",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.