Theresa Bergey, CRNP

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

License

TP000809G Issued in PA

Practice address

1590 Medical Dr
Suite a
Pottstown, PA 19464-3247

Phone

(610) 326-7172

Fax

(610) 326-0974

NPI assigned

Mar 24, 2006

Last updated

Jul 9, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Women's Healthcare Group of PA Health Care for Women Only Division

  • Obstetrics & Gynecology Physician
  • Pottstown, PA
  • NPI 1275592768
  NPD (past)
• Regional Women's Health Group, LLC

  dba Axia Women's Health

  • Obstetrics & Gynecology Physician
  • Voorhees, NJ
  • NPI 1548215536
  NPD (past)

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1669432449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22581",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100872581",
            "telephone_number": "610-482-4795",
            "fax_number": "856-528-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1590 MEDICAL DR",
            "address_2": "SUITE A",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194643247",
            "telephone_number": "610-326-7172",
            "fax_number": "610-326-0974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGEY",
        "first_name": "THERESA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-24",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "PA",
            "license": "TP000809G",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "theresa.bergey@axia.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1590 Medical Dr",
            "address_2": "Suite A",
            "city": "Pottstown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "194643247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sandra Benner
• Angelica Bennett
• Cathleen Bennett, PHARM.D., R.PH.
• Elicia Bennett, ATC
• Mark David Bennett
• Kimi Jo Bergman
• Michael S Berkowitz
• Craig Berman, D.O
• Christina Bernal
• Brittany Lee Berry

• Obstetrics & Gynecology Nurse Practitioner in Pottstown, PA
• Providers in Pottstown, PA by specialty
• Obstetrics & Gynecology Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; 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.