Karin Kay Bergman, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

L3582 Issued in TX

Practice address

5150 Warren Pkwy Ste 705
Frisco, TX 75034-7463

Phone

(214) 494-6200

Fax

(214) 494-6075

NPI assigned

Jun 1, 2005

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 2

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Family Practice

Education

University of Iowa, RJ & L Carver College of Medicine, 1999

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: karin.bergman@kkbmp.eclinicaldirectplus.com
• FHIR API: https://fhir4.healow.com/fhir/r4/FJHEBD/Endpoint/FJHEBD

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.

• Karin K. Bergman, M.D., P.a.

  • Family Medicine Physician
  • Frisco, TX
  • NPI 1942498274
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1386646594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 WARREN PKWY STE 705",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750347463",
            "telephone_number": "214-494-6200",
            "fax_number": "214-494-6075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 WARREN PKWY STE 705",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750347463",
            "telephone_number": "214-494-6200",
            "fax_number": "214-494-6075"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5941 Dallas Pkwy",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750939001",
            "country_code": "US",
            "telephone_number": "972-758-4455",
            "fax_number": "972-758-4433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERGMAN",
        "first_name": "KARIN",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L3582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "0035JE",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER ID",
            "identifier": "2984668",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie M Berg, MD
• Priscilla Bergara
• Keely Bergeron
• Silje Bergestuen, PT
• Vera Nkem Bergman Obi
• Zachary Bergquist
• Molly Clare Berrier, PA-C
• Kyla Berrones
• Lauren Lea Berry, MA, CCC-SLP
• Lindsay Berry, OD

• Family Medicine Physician in Frisco, TX
• Providers in Frisco, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.