Megan Danielle Bergum, DEM

Primary specialty

MidwifeTaxonomy code 176B00000X

Practice address

10468 Ravenswood Rd
Ravenswood, WV 26164-6145

Phone

(304) 482-4729

NPI assigned

Jun 16, 2016

Last updated

Mar 3, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1466035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1790135119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10468 RAVENSWOOD RD",
            "city": "RAVENSWOOD",
            "state": "WV",
            "postal_code": "261646145",
            "telephone_number": "304-482-4729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10468 RAVENSWOOD RD",
            "city": "RAVENSWOOD",
            "state": "WV",
            "postal_code": "261646145",
            "telephone_number": "304-482-4729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGUM",
        "first_name": "MEGAN",
        "middle_name": "DANIELLE",
        "credential": "DEM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-16",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Lynn Barnhart
• McKayla Leanne Barr-Ball
• Jessica Marie Beckham, MSW
• Nina Marie Beel
• Kristen Bergdorf
• Sarah Black, OTR
• Richard Jay Blackburn, DO
• Julie Blair
• Ashley M Blanc, MA
• Murrita C. Bolinger, CFNP

• Midwife in Ravenswood, WV
• Providers in Ravenswood, WV by specialty
• Midwife in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; 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.