NPIMap

Organization Active NPI

Gary T. Bergstein

  • Chiropractor
  • Sharpsburg, PA
National Provider Identifier
1679610703
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC007699L Issued in PA
Legal business name
GARY T. BERGSTEIN
Practice address
701 Freeport Road
Sharpsburg, PA 15215
Phone
(412) 781-4433
Fax
(412) 781-9208
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Gary T Bergstein, DCNPI 1134266471
Title
Owner
Phone
(412) 781-4433

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X DC003337L PA
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X DC007699L PA Primary

Addresses

Primary practice location

701 Freeport Road
Sharpsburg, PA 15215

Mailing address

701 Freeport Road
Sharpsburg, PA 15215
Phone (412) 781-4433

Other identifiers 2

IdentifierTypeStateIssuer
01887575MedicaidPA
1084257MedicaidPA

National Provider Directory

National Provider Directory

Locations

701 Freeport Rd
Sharpsburg, PA 15215
Phone (412) 781-4433

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679610703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 FREEPORT ROAD",
            "city": "SHARPSBURG",
            "state": "PA",
            "postal_code": "15215",
            "telephone_number": "412-781-4433",
            "fax_number": "412-781-9208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 FREEPORT ROAD",
            "city": "SHARPSBURG",
            "state": "PA",
            "postal_code": "15215",
            "telephone_number": "412-781-4433",
            "fax_number": "412-781-9208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY T. BERGSTEIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERGSTEIN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-781-4433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC003337L",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC007699L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01887575",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1084257",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sharpsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.