Organization Active NPI

W a B Physical Medicine & Rehabilitation of Pennsylvania PC

  • Physical Medicine & Rehabilitation Physician
  • Johnstown, PA
National Provider Identifier
1295074417
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
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

Updated by the provider on Dec 10, 2025

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

Authorized official

Name
William A Bergin, D.O.NPI 1427284439
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)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1295074417OtherGROUP NPI
2896336OtherPABLUE SHIELD
1028363120001MedicaidPA

Other names 1

  • Robert Rundorff MD, PC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131025000142 PA Part B Supplier - Clinic/Group Practice 5890920953 Receives reassigned benefits from 1 practitioner
Practice locations: Johnstown, PA

National Provider Directory

National Provider Directory

Locations

16 Rose St
Johnstown, PA 15905
Phone (814) 539-0257

Interoperability endpoints

  • FHIR API: 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.

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.

Verify at the official NPI Registry.