Gudjon Bergmann, MASSAGE THERAPIST

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT140730 Issued in TX

Practice address

324 Riverwalk Dr Ste 308
San Marcos, TX 78666-6936

Phone

(737) 248-1499

NPI assigned

Sep 14, 2024

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1726272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726272000000",
    "number": "1780411801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 HOGAN",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786405402",
            "telephone_number": "512-241-9638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 RIVERWALK DR STE 308",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786666936",
            "telephone_number": "737-248-1499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGMANN",
        "first_name": "GUDJON",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-14",
        "last_updated": "2024-09-14",
        "certification_date": "2024-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT140730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chad Benninghoff, NP
• Bennington Home Health Care, LLC
• Zane Alexander Benson, DC
• Cecilia A Berg, SLP
• Katharyn Elizabeth Joy Berger, PA
• Shyra Berish
• Cristina Berkompas
• Jesus Antonio Berlanga
• Alyssa Bernard
• Jessica Best, MD

• Massage Therapist in San Marcos, TX
• Providers in San Marcos, TX by specialty
• Massage Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2024; 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.