Active NPI
Jules Patrick Bergmann, M.D.
- Pediatrics Physician
- Towson, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- D86061
- Practice address
- 7601 Osler Dr
Towson, MD 21204-7700 - Phone
- (410) 337-1150
- NPI assigned
- Apr 15, 2013
- Last updated
- Jun 3, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | BP10045870 | TX | |
| Pediatrics Physician | 208000000X | D86061 | MD | Primary |
| Hospitalist Physician | 208M00000X | D86061 | MD |
Addresses
Primary practice location
7601 Osler Dr
Towson, MD 21204-7700
Mailing address
1935 Medical District Dr
Dallas, TX 75235-7701
Other practice location 1
1935 Medical District Dr
Dallas, TX 75235-7701
Phone (214) 456-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D86061 | MD | MD | Hospitalist Physician |
| BP10045870 | TX | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Maryland St. Joseph Medical Group, LLC | Current | Accepting new patients | |
| WHC Emerg Phys | Current | Accepting new patients | |
| WHC Physician Group LLC | Current | Accepting new patients | |
| University of Maryland St. Joseph Medical Group, LLC | Current | Accepting new patients | |
| University of Maryland St. Joseph Medical Center, LLC | Past | Accepting new patients |
Locations
3001 S Hanover St
Brooklyn Park, MD 21225
Phone (410) 350-3200
9000 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 682-7000
7601 Osler Dr
Towson, MD 21204
Phone (410) 337-1150
Interoperability endpoints
- jbergmann297668@direct.hopkinsmedicine.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba University of Maryland St. Joseph Medical Group
- General Practice Physician
- Towson, MD
- NPI 1770836785
-
- Surgical Assistant
- Towson, MD
- NPI 1053816074
-
- Emergency Medical Services (Emergency Medicine) Physician
- Washington, DC
- NPI 1306260625
-
dba University of Maryland St. Joseph Medical Center
- General Acute Care Hospital
- Towson, MD
- NPI 1124374079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654214400000",
"number": "1619310067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1935 MEDICAL DISTRICT DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752357701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7601 OSLER DR",
"city": "TOWSON",
"state": "MD",
"postal_code": "212047700",
"telephone_number": "410-337-1150"
}
],
"practiceLocations": [
{
"address_1": "1935 Medical District Dr",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752357701",
"country_code": "US",
"telephone_number": "214-456-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERGMANN",
"first_name": "JULES",
"middle_name": "PATRICK",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-15",
"last_updated": "2022-06-03",
"certification_date": "2022-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "TX",
"license": "BP10045870",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MD",
"license": "D86061",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MD",
"license": "D86061",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Towson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.