Individual provider Active NPI

Ned Harlow Bergert, MS ATC PTA

  • Athletic Trainer
  • Anaheim, CA
National Provider Identifier
1871620054
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
0362 Issued in AZ
Practice address
2000 E Gene Autry Way
Anaheim, CA 92806-6143
Phone
(714) 940-2043
Fax
(714) 940-2240
NPI assigned
Feb 27, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X AT2979 CA
Athletic Trainer 2255A2300X 0362 AZ Primary

Addresses

Primary practice location

2000 E Gene Autry Way
Anaheim, CA 92806-6143

Mailing address

2000 Gene Autry Way
Anaheim, CA 92806-2000
Phone (714) 940-2043

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
AT2979CAMDPhysical Therapy Assistant
0362AZMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1871620054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 GENE AUTRY WAY",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928062000",
            "telephone_number": "714-940-2043",
            "fax_number": "714-940-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 E GENE AUTRY WAY",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928066143",
            "telephone_number": "714-940-2043",
            "fax_number": "714-940-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGERT",
        "first_name": "NED",
        "middle_name": "HARLOW",
        "name_prefix": "Mr.",
        "credential": "MS ATC PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "AT2979",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AZ",
            "license": "0362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.

Verify at the official NPI Registry.