Robert E. Bergman, DO

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

21378 Issued in GA

Practice address

2550 Windy Hill Rd SE
Suite 302
Marietta, GA 30067-8665

Phone

(678) 574-0943

Fax

(678) 574-0943

NPI assigned

Oct 5, 2005

Last updated

Aug 26, 2013By the provider in NPPES

Sex

Male

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 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Ambulatory Anesthesia of Atlanta, P C

  • Anesthesiology Physician
  • Marietta, GA
  • NPI 1164418489
  NPD (past)
• Atlanta Surgery Center LTD

  • Ambulatory Surgical Clinic/Center
  • Atlanta, GA
  • NPI 1336104926
  NPD (past)
• Northside Anesthesiology Consultants, LLC

  • Anesthesiology Physician
  • Atlanta, GA
  • NPI 1083600308
  NPD (past)
• Peachtree Orthopaedic Surgery Center-North, LLC

  • Ambulatory Surgical Clinic/Center
  • Cumming, GA
  • NPI 1093389421
  NPD (past)

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377475200000",
    "number": "1437146362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3155 N POINT PKWY",
            "address_2": "ATTN: CREDENTIALING DEPT, BUILDING F, SUITE 100",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "30005",
            "telephone_number": "770-645-9181",
            "fax_number": "770-645-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 WINDY HILL RD SE",
            "address_2": "SUITE 302",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678665",
            "telephone_number": "678-574-0943",
            "fax_number": "678-574-0943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGMAN",
        "first_name": "ROBERT",
        "middle_name": "E.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2013-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "21378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000210581M",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000210581N",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000210581L",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000210581J",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000210581K",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Berger Psychological Services, P.C.
• Julie K Berger
• Steven Gary Berger, PH.D.
• Joseph P Bergeron, MD
• Marie-Christine Bergeron, DPM
• Linsey Alane Bergstrom, OD
• Alexandra L Berkesch, D.C.
• Arielle N Berlin, PA
• Steven Paul Bernal, DC
• Kilsy Miguelina Bernard, MS, CCC-SLP

• Anesthesiology Physician in Marietta, GA
• Providers in Marietta, GA by specialty
• Anesthesiology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2013; 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.