Active NPI
Scott L. Bergman, D.C.
- Nutrition Chiropractor
- Walnut Creek, CA
National Provider Identifier
1669590535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- DC22592
- Practice address
- 1399 Ygnacio Valley Rd
Suite #31
Walnut Creek, CA 94598-2884 - Phone
- (925) 930-0708
- NPI assigned
- Mar 27, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | DC22592 | CA | Primary |
Addresses
Primary practice location
1399 Ygnacio Valley Rd
Suite #31
Walnut Creek, CA 94598-2884
Mailing address
1399 Ygnacio Valley Rd
Suite #31
Walnut Creek, CA 94598-2884
Phone (925) 930-0708
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111221000299 | CA | Practitioner - Chiropractic | 6800062886 | Practice locations: Walnut Creek, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Los Angeles College of Chiropractic, 1992
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1399 Ygnacio Valley Rd
Suite 31
Walnut Creek, CA 94598-2864
Phone (925) 930-0708
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC22592 | CA | MD | Nutrition Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669590535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1399 YGNACIO VALLEY RD",
"address_2": "SUITE #31",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945982884",
"telephone_number": "925-930-0708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1399 YGNACIO VALLEY RD",
"address_2": "SUITE #31",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945982884",
"telephone_number": "925-930-0708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGMAN",
"first_name": "SCOTT",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "CA",
"license": "DC22592",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.