Active NPI
W a B Physical Medicine & Rehabilitation of Pennsylvania PC
- Physical Medicine & Rehabilitation Physician
- Johnstown, PA
National Provider Identifier
1295074417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- W A B PHYSICAL MEDICINE & REHABILITATION OF PENNSYLVANIA PC
- Practice address
- 16 Rose Street
Johnstown, PA 15905-4327 - Phone
- (814) 539-0257
- Fax
- (814) 536-0963
- NPI assigned
- Feb 7, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William A Bergin, D.O.
- Title
- Owner
- Phone
- (814) 539-0257
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary |
Addresses
Primary practice location
16 Rose Street
Johnstown, PA 15905-4327
Mailing address
16 Rose St
Johnstown, PA 15905-4327
Phone (814) 539-0257
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295074417 | Other | GROUP NPI | |
| 2896336 | Other | PA | BLUE SHIELD |
| 1028363120001 | Medicaid | PA |
Other names 1
- Robert Rundorff MD, PC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
16 Rose St
Johnstown, PA 15905
Phone (814) 539-0257
Interoperability endpoints
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/77090
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Johnstown, PA
- NPI 1427284439
-
- Acute Care Nurse Practitioner
- Johnstown, PA
- NPI 1881428464
-
- Family Nurse Practitioner
- Johnstown, PA
- NPI 1578383675
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360195200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765324800000",
"number": "1295074417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 ROSE ST",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159054327",
"telephone_number": "814-539-0257",
"fax_number": "814-536-0963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 ROSE STREET",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159054327",
"telephone_number": "814-539-0257",
"fax_number": "814-536-0963"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "W A B PHYSICAL MEDICINE & REHABILITATION OF PENNSYLVANIA PC",
"organizational_subpart": "NO",
"enumeration_date": "2013-02-07",
"last_updated": "2025-12-10",
"certification_date": "2025-12-10",
"status": "A",
"authorized_official_last_name": "BERGIN",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "814-539-0257",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1295074417",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "2896336",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1028363120001",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Robert Rundorff MD, PC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Johnstown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.