Active NPI
Susan Biener Bergman, M.D.
- Specialist
- Framingham, MA
National Provider Identifier
1669552683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 54458
- Practice address
- 600 Worcester Rd
Suite LL3
Framingham, MA 01702-5356 - Phone
- (508) 405-4566
- Fax
- (508) 405-4511
- NPI assigned
- Oct 16, 2006
- Last updated
- Mar 23, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 54458 | MA | Primary |
Addresses
Primary practice location
600 Worcester Rd
Suite LL3
Framingham, MA 01702-5356
Mailing address
PO Box 226
Sutton, MA 01590-0226
Phone (508) 865-0890
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0005108 | Other | MA | NEIGHBORHOOD HEALTH PLAN |
| 200068365 | Other | MA | HEALTHCARE VALUE MANAGEME |
| 2329074 | Other | AETNA | |
| 2309066 | Other | UNITED HEALTHCARE | |
| J04587 | Other | MA | BLUE CROSS BLUE SHIELD |
| 376573 | Other | MA | CIGNA |
| 6195237 | Medicaid | MA | |
| 80207 | Other | MA | HARVARD PILGRIM HEALTH |
| 708500 | Other | MA | TUFTS HEALTH PLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050328000488 | MA | Practitioner - Physical Medicine and Rehabilitation | 2163478694 | Practice locations: Framingham, MA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boston Rehabilitation Medicine Associates, Inc. | Past | Accepting new patients | |
| Janet C Limke MD LLC | 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.
-
- Physical Medicine & Rehabilitation Physician
- Boston, MA
- NPI 1073550331
-
- Physical Medicine & Rehabilitation Physician
- Braintree, MA
- NPI 1245429588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300838400000",
"number": "1669552683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 226",
"city": "SUTTON",
"state": "MA",
"postal_code": "015900226",
"telephone_number": "508-865-0890",
"fax_number": "508-865-5226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 WORCESTER RD",
"address_2": "SUITE LL3",
"city": "FRAMINGHAM",
"state": "MA",
"postal_code": "017025356",
"telephone_number": "508-405-4566",
"fax_number": "508-405-4511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGMAN",
"first_name": "SUSAN",
"middle_name": "BIENER",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-16",
"last_updated": "2011-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MA",
"license": "54458",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLAN",
"identifier": "0005108",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHCARE VALUE MANAGEME",
"identifier": "200068365",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2329074",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2309066",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "J04587",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "376573",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6195237",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTH",
"identifier": "80207",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "708500",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Framingham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2011; 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.