Active NPI
Barbara Bergeski, P.A.
- Physician Assistant
- Livonia, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601002728
- Practice address
- 17800 Newburgh Rd
Suite 103
Livonia, MI 48152-2700 - Phone
- (734) 464-9540
- Fax
- (734) 464-0438
- NPI assigned
- Jan 23, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601002728 | MI | Primary |
Addresses
Primary practice location
17800 Newburgh Rd
Suite 103
Livonia, MI 48152-2700
Mailing address
17800 Newburgh Rd
Suite 103
Livonia, MI 48152-2700
Phone (734) 266-2780
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
17800 Newburgh Rd
103 Livonia Family Physicians
Livonia, MI 48152-2794
Phone (734) 464-9540
39475 Lewis Dr
Novi, MI 48377-2977
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601002728 | MI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Envision Medical Group PLLC | Physician Assistant | Current | Accepting new patients |
| Envision Medical Group PLLC | Current | Accepting new patients | |
| Livonia Family Physicians, PC | Physician Assistant | Past | Accepting new patients |
| Livonia Family Physicians, PC | Past | Accepting new patients |
Locations
17800 Newburgh Rd
Ste 103
Livonia, MI 48152
Phone (734) 464-9540
42931 7 Mile Rd
Northville, MI 48167
Phone (248) 348-2442
39475 Lewis Dr
Ste 130
Novi, MI 48377
Phone (248) 374-0502
Interoperability endpoints
- barbara.bergeski.1@21803.direct.athenahealth.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Novi, MI
- NPI 1336625540
-
- Family Medicine Physician
- Northville, MI
- NPI 1578891750
Physician Assistant
-
- Family Medicine Physician
- Northville, MI
- NPI 1821391848
-
- Family Medicine Physician
- Brighton, MI
- NPI 1063677912
-
- Family Medicine Physician
- Livonia, MI
- NPI 1679544506
Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295705382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17800 NEWBURGH RD",
"address_2": "SUITE 103",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481522700",
"telephone_number": "734-266-2780",
"fax_number": "734-466-9615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17800 NEWBURGH RD",
"address_2": "SUITE 103",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481522700",
"telephone_number": "734-464-9540",
"fax_number": "734-464-0438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGESKI",
"first_name": "BARBARA",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601002728",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Livonia, MI
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.