Roger Burt Bergman, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9100770 Issued in FL

Practice address

7000 SW 62ND Ave
Suite 545
South Miami, FL 33143-4716

Phone

(305) 669-6166

NPI assigned

Mar 28, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: wghrbergm@yourcarecommunity.org

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.

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  NPD (past)
• JL Psych Services PA

  • Psychiatry Physician
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  • NPI 1144896077
  NPD (past)

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306965371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 QUAYSIDE TER",
            "address_2": "APT 1904",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382243",
            "telephone_number": "305-895-6659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 SW 62ND AVE",
            "address_2": "SUITE 545",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434716",
            "telephone_number": "305-669-6166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGMAN",
        "first_name": "ROGER",
        "middle_name": "BURT",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9100770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Raymond Bender, M.P.T.
• Jorge Benito, MD
• Benjamin and Blank LLC
• Rodney Gram Benjamin, M.D.
• Giomela Berberi, MD
• Raquel Berman, P.T.
• Stanley Bernard
• Claire Madeleine Bernert
• Erik Bernstein, M.D.
• Zulma M Berrios, M.D.

• Physician Assistant in South Miami, FL
• Providers in South Miami, FL by specialty
• Physician Assistant in Florida

• 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.