James T. Bergin, MD PSC

Primary specialty

SpecialistTaxonomy code 174400000X

License

35724 Issued in KY

Legal business name

JAMES T. BERGIN, MD PSC

Practice address

720 Second St
Ste 201
Bowling Green, KY 42101-1778

Phone

(270) 796-4606

Fax

(270) 796-2828

NPI assigned

Sep 7, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Ronda Lynn Birchell

Title

Office Manager

Phone

(270) 796-4606

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467556845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 SECOND ST",
            "address_2": "STE 201",
            "city": "BOWLING GREEN",
            "state": "KS",
            "postal_code": "421011778",
            "telephone_number": "270-796-4606",
            "fax_number": "270-796-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 SECOND ST",
            "address_2": "STE 201",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011778",
            "telephone_number": "270-796-4606",
            "fax_number": "270-796-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES T. BERGIN, MD PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BIRCHELL",
        "authorized_official_first_name": "RONDA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "270-796-4606",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "KY",
            "license": "35724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Specialist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.