Active NPI
Greg F Bergman, LBSW
- Social Worker
- Carlsbad, NM
National Provider Identifier
1326468232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- B-04595
- Practice address
- 1306 W Stevens St
Carlsbad, NM 88220-4240 - Phone
- (575) 885-4191
- Fax
- (575) 885-4194
- NPI assigned
- Apr 17, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | B-04595 | NM | Primary |
Addresses
Primary practice location
1306 W Stevens St
Carlsbad, NM 88220-4240
Mailing address
1306 W Stevens St
Carlsbad, NM 88220-4240
Phone (575) 885-4191
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| B-04595 | NM | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397692800000",
"number": "1326468232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1306 W STEVENS ST",
"city": "CARLSBAD",
"state": "NM",
"postal_code": "882204240",
"telephone_number": "575-885-4191",
"fax_number": "575-885-4194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1306 W STEVENS ST",
"city": "CARLSBAD",
"state": "NM",
"postal_code": "882204240",
"telephone_number": "575-885-4191",
"fax_number": "575-885-4194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGMAN",
"first_name": "GREG",
"middle_name": "F",
"name_prefix": "Mr.",
"credential": "LBSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-04-17",
"last_updated": "2014-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NM",
"license": "B-04595",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carlsbad, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.