Individual provider Active NPI

Danielle Alise Bergmann, M.S.

  • Speech-Language Pathologist
  • Delray Beach, FL
National Provider Identifier
1770832289
Registry record updated Nov 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA12512 Issued in FL
Practice address
105 E Coda Cir
Delray Beach, FL 33444-3563
Phone
(954) 249-3712
NPI assigned
Aug 30, 2012
Last updated
Nov 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SZ5898 FL
Speech-Language Pathologist 235Z00000X SA12512 FL Primary

Addresses

Primary practice location

105 E Coda Cir
Delray Beach, FL 33444-3563

Mailing address

105 E Coda Cir
Delray Beach, FL 33444-3563
Phone (954) 249-3712

Other practice location 1

3335 North University Drive
Suite 5
Hollywood, FL 33024
Phone (954) 442-9422

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SA12512FLMDSpeech-Language Pathologist
SZ5898FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Specialized Speech Center, Inc. Speech-Language Pathologist Past Accepting new patients
Specialized Speech Center Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667692800000",
    "number": "1770832289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 E CODA CIR",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334443563",
            "telephone_number": "954-249-3712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E CODA CIR",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334443563",
            "telephone_number": "954-249-3712"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3335 North University Drive",
            "address_2": "Suite 5",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "33024",
            "country_code": "US",
            "telephone_number": "954-442-9422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERGMANN",
        "first_name": "DANIELLE",
        "middle_name": "ALISE",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-30",
        "last_updated": "2022-11-06",
        "certification_date": "2022-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ5898",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA12512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2022; 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.