David Benjamin Bergman, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G19527 Issued in CA

Practice address

14750 El Camino Real
Del Mar, CA 92014-4204

Phone

(858) 481-4411

Fax

(858) 792-7356

NPI assigned

Sep 6, 2006

Last updated

Oct 22, 2009By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256169600000",
    "number": "1285737130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14750 EL CAMINO REAL",
            "address_2": "CASA PALMERA",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920144204",
            "telephone_number": "858-481-4411",
            "fax_number": "858-792-7356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14750 EL CAMINO REAL",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920144204",
            "telephone_number": "858-481-4411",
            "fax_number": "858-792-7356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGMAN",
        "first_name": "DAVID",
        "middle_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2009-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G19527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G195270",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ron John Barry, D.M.D.
• Valerie Ning Beckwith, L.AC.
• Ayah Beiruti, LMFT
• Nolan Bellisario, DMD
• Ami Ben-Artzi, M.D.
• Berlow Clinical
• Rustin Berlow, MD
• Anthony Vincent Bernardini Jr.
• Steven Fox Bierman, M.D.
• Joy Bischke, BS

• Psychiatry Physician in Del Mar, CA
• Providers in Del Mar, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2009; 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.