Brenda L. Bergman, PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP1730 Issued in MN

Legal business name

BRENDA L. BERGMAN, PLLC

Practice address

306 W Superior St
Suite 608
Duluth, MN 55802-1803

Phone

(218) 740-3060

Fax

(218) 740-3060

NPI assigned

Aug 10, 2006

Last updated

Jul 14, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brenda Bergman, PH.D.NPI 1598776387

Title

President

Phone

(218) 740-3060

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brenda Louise Bergman, PH.D.

  • Clinical Psychologist
  • Duluth, MN
  • NPI 1598776387
  Authorized official Same address or phone

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310601600000",
    "number": "1407867955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 W SUPERIOR ST",
            "address_2": "SUITE 608",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021803",
            "telephone_number": "218-740-3060",
            "fax_number": "218-740-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 W SUPERIOR ST",
            "address_2": "SUITE 608",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021803",
            "telephone_number": "218-740-3060",
            "fax_number": "218-740-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENDA L. BERGMAN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2011-07-14",
        "status": "A",
        "authorized_official_last_name": "BERGMAN",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "218-740-3060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP1730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH",
            "identifier": "61-24268",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806547100",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "117597",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "358J1BE",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Marie Brayden
• Diane Kay Brazill, MSW
• Sophia Ray Breitag, APRN, CNM
• Ethan Jon Brekke, DDS
• Nancy Ella Brekke
• Britney Brennan
• Mary Connelly Bressler
• Ruby L Brewer, LPC
• Donald Brewster
• Diane Marie Brickley

• Clinical Psychologist in Duluth, MN
• Providers in Duluth, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2011; 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.