NPIMap

Organization Active NPI

Maureen Bergman DMD PA

  • Dental Clinic/Center
  • PBG, FL
National Provider Identifier
1780809145
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
FL13552 Issued in FL
Legal business name
MAUREEN BERGMAN DMD PA
Practice address
3375 Burns Road
Suite 209
PBG, FL 33410
Phone
(561) 691-1629
NPI assigned
Apr 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Maureen Renee Bergman, DMDNPI 1588730949
Title
Owner
Phone
(561) 691-1629

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X FL13552 FL Primary

Addresses

Primary practice location

3375 Burns Road
Suite 209
PBG, FL 33410

Mailing address

3375 Burns Road
Suite 209
PBG, FL 33410
Phone (561) 691-1629

National Provider Directory

National Provider Directory

Locations

3375 Burns Rd
Ste 209
Palm Beach Gardens, FL 33410
Phone (561) 691-1629

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780809145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3375 BURNS ROAD",
            "address_2": "SUITE 209",
            "city": "PBG",
            "state": "FL",
            "postal_code": "33410",
            "telephone_number": "561-691-1629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3375 BURNS ROAD",
            "address_2": "SUITE 209",
            "city": "PBG",
            "state": "FL",
            "postal_code": "33410",
            "telephone_number": "561-691-1629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAUREEN BERGMAN DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERGMAN",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-691-1629",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "FL13552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in PBG, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.