Debra C Bergman, MD

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

01045277A Issued in IN

Practice address

12425 Old Meridian St
Suite #B1
Carmel, IN 46032-8724

Phone

(317) 581-0001

Fax

(317) 581-0002

NPI assigned

Jun 27, 2006

Last updated

Oct 23, 2007By 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

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Plastic and Reconstructive Surgery

Education

Indiana University School of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Indiana Cosmetic and Plastic Surgeons, LLCGroup PAC ID 4183623788, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Indiana Cosmetic & Plastic Surgeons, LLC

  dba Carmel Cosmetic & Plastic Surgeons

  • Plastic Surgery Physician
  • Carmel, IN
  • NPI 1831103100
  Medicare reassignment Care Compare group NPD
• Associated Plastic Surgeons of Indiana PC

  dba Turkle & Associates

  • Specialist
  • Carmel, IN
  • NPI 1922120609
  NPD (past)
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193097600000",
    "number": "1730116518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 68952",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462680952",
            "telephone_number": "317-802-3158",
            "fax_number": "317-870-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12425 OLD MERIDIAN ST",
            "address_2": "SUITE #B1",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460328724",
            "telephone_number": "317-581-0001",
            "fax_number": "317-581-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGMAN",
        "first_name": "DEBRA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2007-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "IN",
            "license": "01045277A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jodale Lynn Benz
• Berg Counseling Services, Inc (Pro-Active Resources)
• Joshua Bradley Berg, M.D.
• Nicholas James Berg
• Kayla Berger
• Stephanie Ann Bergstein, MD
• Solomon I Berkowitz, CAA
• Ginger Berlin
• Svetlana Berman, D.D.S., M.S.D.
• Ashlyn Marie Berry, LCSW

• Plastic and Reconstructive Surgery Physician in Carmel, IN
• Providers in Carmel, IN by specialty
• Plastic and Reconstructive Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; 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.
• 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.

Verify at the official NPI Registry.