Active NPI
Adam Vincent Bergman, DMD
- Endodontics
- The Villages, FL
National Provider Identifier
1780914689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DN18900
- Practice address
- 11950 County Road 101
Suite 204
The Villages, FL 32162 - Phone
- (352) 391-5590
- NPI assigned
- Dec 28, 2009
- 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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | DN18900 | FL | Primary |
Addresses
Primary practice location
11950 County Road 101
Suite 204
The Villages, FL 32162
Mailing address
11950 County Road 101
Suite 204
The Villages, FL 32162
Phone (352) 391-5590
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN18900 | FL | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741132800000",
"number": "1780914689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11950 COUNTY ROAD 101",
"address_2": "SUITE 204",
"city": "THE VILLAGES",
"state": "FL",
"postal_code": "32162",
"telephone_number": "352-391-5590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11950 COUNTY ROAD 101",
"address_2": "SUITE 204",
"city": "THE VILLAGES",
"state": "FL",
"postal_code": "32162",
"telephone_number": "352-391-5590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGMAN",
"first_name": "ADAM",
"middle_name": "VINCENT",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-12-28",
"last_updated": "2025-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "FL",
"license": "DN18900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in The Villages, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.