Active NPI
Bernard Joseph Bergman III, PHARM D
- Pharmacist
- Port Richey, FL
National Provider Identifier
1629673231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS49025
- Practice address
- 7120 Ridge Rd
Port Richey, FL 34668-6938 - Phone
- (727) 848-3442
- NPI assigned
- Dec 1, 2020
- Last updated
- Dec 1, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS49025 | FL | Primary |
Addresses
Primary practice location
7120 Ridge Rd
Port Richey, FL 34668-6938
Mailing address
7120 Ridge Rd
Port Richey, FL 34668-6938
Phone (727) 848-3442
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Cvs |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS49025 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holiday CVS LLC | Past | Accepting new patients | |
| Holiday CVS L.L.C. | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606780800000",
"number": "1629673231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7120 RIDGE RD",
"city": "PORT RICHEY",
"state": "FL",
"postal_code": "346686938",
"telephone_number": "727-848-3442",
"fax_number": "727-843-8092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7120 RIDGE RD",
"city": "PORT RICHEY",
"state": "FL",
"postal_code": "346686938",
"telephone_number": "727-848-3442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGMAN",
"first_name": "BERNARD",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-01",
"last_updated": "2020-12-01",
"certification_date": "2020-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS49025",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Cvs",
"affiliation": "N",
"address_1": "7120 Ridge Rd",
"city": "Port Richey",
"state": "FL",
"country_code": "US",
"postal_code": "346686938",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Port Richey, FL
- Bayada Home Health Care, Inc.
- Bayonet Point Oxygen Services of Florida
- Claire Bazile, LMHC
- Andre William Benson, M.D.
- Ross Bento, PTA
- Best Care Senior Living at Port Richey LLC
- Best Value Healthcare (Primary Care Associates)
- Bestie Meds LLC
- Beyond 2020 Vision Specialists Port Richey
- Beyond Words Art Studio, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.