Bergete Dill

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

1017 S Riverside Dr Ste 221
Clarksville, TN 37040-4303

Phone

(931) 343-9475

NPI assigned

Jun 11, 2024

Last updated

Jun 11, 2024By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1718064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1508608373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 S RIVERSIDE DR STE 221",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370404303",
            "telephone_number": "931-343-9475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 S RIVERSIDE DR STE 221",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370404303",
            "telephone_number": "931-343-9475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2023 Ridge Rd Uppr 5",
            "address_purpose": "LOCATION",
            "city": "Homewood",
            "state": "IL",
            "postal_code": "604301786",
            "country_code": "US",
            "telephone_number": "219-402-4050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DILL",
        "first_name": "BERGETE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dickson Orthopaedic and Sports Medicine PLLC
• Katie Diehr
• Nicole Marie Diercks, LPC, CSAC
• Marriah Teresa Digou, COTA/L
• Casey Digrezio, SLP
• Sadie Dillon, BSW
• Brittany Dinkel
• Dino a Delaurentis DO PLLC
• Amber Dinser
• Christena Dinsmore-Nassar

• Community Health Worker in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Community Health Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.