Individual provider Active NPI

Robert L Bergman, MD

  • Neurology Physician
  • Seattle, WA
National Provider Identifier
1497791685
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD 0019631 Issued in WA
Practice address
2271 NE 51St St
Seattle, WA 98105-5713
Phone
(206) 522-8553
Fax
(206) 522-7815
NPI assigned
Jun 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD 0019631 WA Primary

Addresses

Primary practice location

2271 NE 51St St
Seattle, WA 98105-5713

Mailing address

2271 NE 51St St
Seattle, WA 98105-5713
Phone (206) 522-8553

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100323000245 WA Practitioner - Psychiatry 4789719238 Practice locations: Seattle, WA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Chicago, Pritzker School of Medicine, 1962
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2271 NE 51St St
Seattle, WA 98105-5799

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD 0019631WAMDNeurology Physician

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497791685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2271 NE 51ST ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981055713",
            "telephone_number": "206-522-8553",
            "fax_number": "206-522-7815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2271 NE 51ST ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981055713",
            "telephone_number": "206-522-8553",
            "fax_number": "206-522-7815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGMAN",
        "first_name": "ROBERT",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WA",
            "license": "MD 0019631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.