John Bergman, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

18723 Issued in MN

Practice address

825 Nicollet Mall Ste 1227
Minneapolis, MN 55402-2702

Phone

(612) 339-4843

Fax

(612) 339-9168

NPI assigned

Jul 18, 2006

Last updated

Jun 16, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 Medicine

State licenses

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.

• John Bergman, M.D. LTD

  • Dermatology Physician
  • Minneapolis, MN
  • NPI 1265696959
  Authorized official Same address or phone

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213574400000",
    "number": "1437178811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 NICOLLET MALL STE 1227",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554022702",
            "telephone_number": "612-339-4843",
            "fax_number": "612-339-9168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 NICOLLET MALL STE 1227",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554022702",
            "telephone_number": "612-339-4843",
            "fax_number": "612-339-9168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGMAN",
        "first_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2008-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MN",
            "license": "18723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS, BLUE SHIELD",
            "identifier": "01282BE",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "3925",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "0327994",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "070016473",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "217763300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Lynn Berglund, PT, DPT
• Samantha Berglund, RN
• Brynn Bergman
• Elizabeth Renee Bergman, LICSW
• Janell Bergman
• Thomas A Bergman, MD
• Kelly Robert Bergmann, D.O.
• Derek Bergquist, PHARMD/MBA
• Wade Bergquist
• Sarah Bergstrand, LPN

• Dermatology Physician in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Dermatology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.