Chad Bergman, ATC

Primary specialty

Sports Medicine (Emergency Medicine) PhysicianTaxonomy code 207PS0010X

License

123456 Issued in TX

Practice address

510 W 49TH St
Indianapolis, IN 46208-3480

Phone

(317) 940-3647

NPI assigned

Mar 3, 2006

Last updated

Apr 25, 2023By 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 1

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": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1639146079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11550 HAGUE RD",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460381809",
            "telephone_number": "210-585-1057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 W 49TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462083480",
            "telephone_number": "317-940-3647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGMAN",
        "first_name": "CHAD",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-03",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PS0010X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Sports Medicine",
            "state": "TX",
            "license": "123456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Berger, DT
• Brielle Elaine Bergeron, PA-C
• Holly Bergeron, RPH
• Joseph William Bergeron, M.D.
• Kimberly Berghoff
• Michelle Lynn Bergman
• Kalia Marie Bergmann, DC
• Noah Payton Bergsma
• Jerry Michael Bergstein, M.D.
• Joanna Bergum, PHARMD

• Sports Medicine (Emergency Medicine) Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Sports Medicine (Emergency Medicine) Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; 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.