Marion J Bergman, MD

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

1338101 Issued in NY

Practice address

285 Sills Rd
Building 7, Suite B
East Patchogue, NY 11772-4869

Phone

(631) 654-4577

Fax

(631) 654-3391

NPI assigned

Sep 20, 2005

Last updated

Aug 16, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187222400000",
    "number": "1386630960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 SILLS RD",
            "address_2": "BUILDING 7, SUITE B",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117724869",
            "telephone_number": "631-654-4577",
            "fax_number": "631-654-3391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 SILLS RD",
            "address_2": "BUILDING 7, SUITE B",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117724869",
            "telephone_number": "631-654-4577",
            "fax_number": "631-654-3391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGMAN",
        "first_name": "MARION",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-20",
        "last_updated": "2007-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "1338101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00667203",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen L Bath, ATC
• Audrey Annmarie Beckford, LPN
• Rebecka Abigail Beckles
• Behavioral Health Medical Practice P.C.
• David Belli, OT
• Hasan I Berisha, M.D,
• Richard E Berman, M.D.
• Gopal A Bhandarkar, M.D.
• Nataliya Volodymyrivna Bilokur, M.D.
• Alan Howard Black, D.D.S.

• Pulmonary Disease Physician in East Patchogue, NY
• Providers in East Patchogue, NY by specialty
• Pulmonary Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.