The Pediatricplace PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

051116 Issued in GA

Legal business name

THE PEDIATRICPLACE PC

Practice address

9570 Nesbit Ferry Rd Ste 201
Alpharetta, GA 30022-6859

Phone

(770) 640-8119

Fax

(770) 640-8260

NPI assigned

Feb 15, 2012

Last updated

Feb 15, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David M Bergman, M.DNPI 1467412791

Title

Owner

Phone

(770) 640-8119

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Moshe Bergman, M.D.

  • Pediatrics Physician
  • Alpharetta, GA
  • NPI 1467412791
  NPD (past) Authorized official
• Laetitia Badio

  • Pediatrics Physician
  • Dacula, GA
  • NPI 1033679022
  NPD (past)
• Andrea McCullough-Hlobik, D.O.

  • Pediatrics Physician
  • Alpharetta, GA
  • NPI 1376586149
  NPD (past)

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

{
    "created_epoch": "1329264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329264000000",
    "number": "1699048090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9570 NESBIT FERRY RD STE 201",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300226859",
            "telephone_number": "770-640-8119",
            "fax_number": "770-640-8260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9570 NESBIT FERRY RD STE 201",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300226859",
            "telephone_number": "770-640-8119",
            "fax_number": "770-640-8260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PEDIATRICPLACE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-15",
        "last_updated": "2012-02-15",
        "status": "A",
        "authorized_official_last_name": "BERGMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-640-8119",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "051116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; 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.