Genette Marie Bergman, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

T4120 Issued in TX

Practice address

5323 Harry Hines Blvd
Dallas, TX 75390-7201

Phone

(214) 648-3111

NPI assigned

Jun 18, 2019

Last updated

Jul 4, 2022By 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 TX

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

Emergency Medicine

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Century Integrated Partners, IncGroup PAC ID 6406151703, 330 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baylor Scott & White Medical Center - Centennial Hospital, Frisco, TX, CCN 450885

Merit-based Incentive Payment System (MIPS)

Final score

99.43 of 100Reported as group

Quality

93.73

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gbergman49959@direct.phhs.org

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.

• Century Integrated Partners, Inc

  • Emergency Medicine Physician
  • Dallas, TX
  • NPI 1447615711
  Medicare reassignment Care Compare group NPD
• CD Urgent Care Center 5, PLLC

  • Urgent Care Clinic/Center
  • Fort Worth, TX
  • NPI 1407224850
  Medicare reassignment NPD
• City Doc Uptown Urgent Care Center, PLLC

  • Urgent Care Clinic/Center
  • Dallas, TX
  • NPI 1679686349
  Medicare reassignment NPD
• Citydoc Urgent Care Center 2, PLLC

  • Urgent Care Clinic/Center
  • Dallas, TX
  • NPI 1003044942
  Medicare reassignment NPD
• Citydoc Urgent Care Center 3, PLLC

  • Urgent Care Clinic/Center
  • Dallas, TX
  • NPI 1619237401
  Medicare reassignment NPD
• Paul Phillips III, M.D., P.a.

  dba Phillips Orthopedic Associates

  • Orthopaedic Surgery Physician
  • Fredericksburg, TX
  • NPI 1477045151
  NPD (past)
• Reclaim Physicians Medical Group Inc

  • Family Medicine Physician
  • Grapevine, TX
  • NPI 1811418023
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baylor Scott & White Medical Center - Centennial

  • General Acute Care Hospital
  • Frisco, TX
  • NPI 1801826839
  Care Compare affiliation

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656892800000",
    "number": "1740840032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5323 HARRY HINES BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753907201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5323 HARRY HINES BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753907201",
            "telephone_number": "214-648-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGMAN",
        "first_name": "GENETTE",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-18",
        "last_updated": "2022-07-04",
        "certification_date": "2022-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "T4120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Elizabeth Bergesch, CRNA
• Kelley Bergeson, NP
• Rachel Bergeson
• Bergman Pediatrics P a
• Barry Eric Bergman, MD
• Mary Catherine Bergman, M.D.
• Yekaterina Bergman, CRNA
• James Ray Bergmann, MD
• Paul R Bergstresser, MD
• Betel Berhane

• Emergency Medicine Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Emergency Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2022; 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.