Julie Alison Bergman, N.P.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

16085 Issued in CA

Practice address

855 3Rd Ave Ste 2200
Chula Vista, CA 91911-1353

Phone

(619) 426-0100

Fax

(619) 426-2170

NPI assigned

Jun 20, 2007

Sex

Female

Sole proprietor

Yes

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

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285839985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 3RD AVE STE 2200",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919111353",
            "telephone_number": "619-426-0100",
            "fax_number": "619-426-2170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 3RD AVE STE 2200",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919111353",
            "telephone_number": "619-426-0100",
            "fax_number": "619-426-2170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGMAN",
        "first_name": "JULIE",
        "middle_name": "ALISON",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "CA",
            "license": "16085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "16085",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elisha Ann Benson, DPT
• Tatiana Benton
• Cherryleen Benueza
• Christina Elizabeth Berardi, PTA
• Joan Hilary Bercoon, D.D.S.
• Nancy Jo Bergman, O.T.R./L.
• Wayne Philip Bergman, M.D.
• Berlandhomecare Inc
• Matthew Berlin, PSY.D.
• Brett Justin Berman, MD

• Pediatric Adolescent Medicine Physician in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Pediatric Adolescent Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.