Active NPI
Birgit Klaudia Bergmann, CDP
- Specialist
- Vancouver, WA
National Provider Identifier
1447419544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- CP00003604
- Practice address
- 7017 NE Highway 99 Ste 114
Vancouver, WA 98665-0554 - Phone
- (360) 694-7484
- Fax
- (360) 694-7479
- NPI assigned
- Jun 3, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | CP00003604 | WA | Primary |
Addresses
Primary practice location
7017 NE Highway 99 Ste 114
Vancouver, WA 98665-0554
Mailing address
7017 NE Highway 99 Ste 114
Vancouver, WA 98665-0554
Phone (360) 694-7484
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CP00003604 | Other | WA | CHEMICAL DEPENDENCY PROFESSIONAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP00003604 | WA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paprocki-Sims. LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Columbia Treatment Services
- Community/Behavioral Health Agency
- Vancouver, WA
- NPI 1821048869
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212451200000",
"number": "1447419544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7017 NE HIGHWAY 99 STE 114",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986650554",
"telephone_number": "360-694-7484",
"fax_number": "360-694-7479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7017 NE HIGHWAY 99 STE 114",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986650554",
"telephone_number": "360-694-7484",
"fax_number": "360-694-7479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGMANN",
"first_name": "BIRGIT",
"middle_name": "KLAUDIA",
"name_prefix": "Ms.",
"credential": "CDP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-03",
"last_updated": "2008-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "CP00003604",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHEMICAL DEPENDENCY PROFESSIONAL",
"identifier": "CP00003604",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.