Individual provider Active NPI

David M Bergdahl, M.D.

  • Pediatrics Physician
  • Fresno, CA
National Provider Identifier
1386615714
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
G44803 Issued in CA
Practice address
7720 N Fresno St
Suite 104
Fresno, CA 93720-2407
Phone
(559) 438-2300
Fax
(559) 438-1531
NPI assigned
Feb 1, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X G44803 CA Primary

Addresses

Primary practice location

7720 N Fresno St
Suite 104
Fresno, CA 93720-2407

Mailing address

7720 N Fresno St
Suite 104
Fresno, CA 93720-2407
Phone (559) 438-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151209002982 CA Practitioner - Pediatric Medicine 4587965868 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G44803CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Children's Medical Group Pediatrics CurrentSince Oct 31, 2015 Accepting new patients
Fresno Children's Medical Group, Inc Pediatrics Past Accepting new patients
Valley Children's Primary Care Group, Inc. Pediatrics PastSince Aug 31, 2020 Accepting new patients

Locations

1524 McHenry Ave
Ste 550570
Modesto, CA 95350
Phone (209) 572-3880

Interoperability endpoints

  • Direct secure messaging: dbergdahl16073@valleychildrens-prd.direct-ci.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1386615714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7720 N FRESNO ST",
            "address_2": "SUITE 104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202407",
            "telephone_number": "559-438-2300",
            "fax_number": "559-438-1531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7720 N FRESNO ST",
            "address_2": "SUITE 104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202407",
            "telephone_number": "559-438-2300",
            "fax_number": "559-438-1531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGDAHL",
        "first_name": "DAVID",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G44803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.