Active NPI
James J. Bergman, M.D.
- Family Medicine Physician
- Bellevue, WA
National Provider Identifier
1770634206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD00014477
- Practice address
- 13451 SE 36TH St
Bellevue, WA 98006-1475 - Phone
- (425) 562-1316
- Fax
- (425) 562-4601
- NPI assigned
- Jan 12, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD00014477 | WA | Primary |
Addresses
Primary practice location
13451 SE 36TH St
Bellevue, WA 98006-1475
Mailing address
PO Box 34581
Seattle, WA 98124-1581
Phone (509) 241-7349
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 232493 | Other | WA | LNI |
| 8112500 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Association of University Physicians | Family Medicine | Current | Accepting new patients |
Locations
13231 SE 36th St
Bellevue, WA 98006
Phone (206) 331-0903
1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba University of Washington Physicians
- Anesthesiology Physician
- Seattle, WA
- NPI 1023041159
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247529600000",
"number": "1770634206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34581",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981241581",
"telephone_number": "509-241-7349",
"fax_number": "509-241-7628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13451 SE 36TH ST",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980061475",
"telephone_number": "425-562-1316",
"fax_number": "425-562-4601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGMAN",
"first_name": "JAMES",
"middle_name": "J.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-12",
"last_updated": "2009-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00014477",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LNI",
"identifier": "232493",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8112500",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.