Paul a Bergfelder MD LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PAUL A BERGFELDER MD LLC

Practice address

1915 Chester Blvd
Richmond, IN 47374-1281

Phone

(765) 935-2567

Fax

(765) 962-0880

NPI assigned

Feb 29, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Paul Allen Bergfelder, M.D.

Title

Owner

Phone

(765) 935-2567

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352246400000",
    "number": "1518136993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 CHESTER BLVD",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741281",
            "telephone_number": "765-935-2567",
            "fax_number": "765-962-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 CHESTER BLVD",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741281",
            "telephone_number": "765-935-2567",
            "fax_number": "765-962-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL A BERGFELDER MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-29",
        "last_updated": "2012-11-07",
        "status": "A",
        "authorized_official_last_name": "BERGFELDER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-935-2567",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201063810A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0062146",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan Parrett, MD
• Miranda Dawn Passmore, P.T.
• Evan Patmore
• Roberta K Patterson, CNM
• Amanda Patton, CADACII
• April Pavey
• Ashlee Pax, RDN, LD
• Alaina Rose Paxton, RBT
• Karrie Jane Payne
• Lynelle E Payne, APN

• Internal Medicine Physician in Richmond, IN
• Providers in Richmond, IN by specialty
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; 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.