Porretta & Bergman MD, PC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

PORRETTA & BERGMAN MD, PC

Practice address

29990 Northwestern Hwy
Farmington Hills, MI 48334-3225

Phone

(248) 538-6463

Fax

(248) 538-6470

NPI assigned

Mar 1, 2007

Organization subpart

No

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

Authorized official

Name

Heather Leszczynski

Title

Credentialing Manager

Phone

(248) 538-8591

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Porretta & Bergman MD, PC

  • Specialist
  • West Bloomfield, MI
  • NPI 1609518380

  2466593025

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Porretta & Bergman MD, PC

  • Specialist
  • West Bloomfield, MI
  • NPI 1609518380

  O20100105000692

  Same enrollment

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Porretta & Bergman MD, PC

  • Specialist
  • West Bloomfield, MI
  • NPI 1609518380
  NPPES parent name

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Erik Henry Belcarz, O.D.

  • Optometrist
  • Farmington Hills, MI
  • NPI 1003915737
  Medicare reassignment Care Compare group NPD
• Ronald H Bergman, MD

  • Ophthalmology Physician
  • Farmington Hills, MI
  • NPI 1225015399
  Medicare reassignment Care Compare group NPD
• Zachary Bergman

  • Ophthalmology Physician
  • Farmington Hills, MI
  • NPI 1104321819
  Medicare reassignment Care Compare group NPD
• Michael Y Greenley, MD

  • Ophthalmology Physician
  • Farmington Hills, MI
  • NPI 1952392813
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650499200000",
    "number": "1487782785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29990 NORTHWESTERN HWY",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343225",
            "telephone_number": "248-538-6463",
            "fax_number": "248-538-6470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29990 NORTHWESTERN HWY",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343225",
            "telephone_number": "248-538-6463",
            "fax_number": "248-538-6470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORRETTA & BERGMAN MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A",
        "authorized_official_last_name": "LESZCZYNSKI",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "248-538-8591"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra L Porps, AU.D. CCC-A
• Maria Porras Lopez
• Clarissa Porras
• Monica Porras
• Antoinetta Porrazzo
• A'Leah Porter
• Amanda Porter
• Bria Porter
• Cedrah Porter
• Cherish Porter

• Specialist in Farmington Hills, MI
• Providers in Farmington Hills, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.