Active NPI
Robert Loring Bergman, D.V.M.
- Veterinarian
- Matthews, NC
National Provider Identifier
1871835728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Veterinarian
- License
- 5368
- Practice address
- 4099 Campus Ridge Rd
Matthews, NC 28105-5009 - Phone
- (704) 815-3939
- Fax
- (704) 815-3940
- NPI assigned
- Mar 19, 2013
- 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 |
|---|---|---|---|---|
| Veterinarian | 174M00000X | 5368 | NC | Primary |
Addresses
Primary practice location
4099 Campus Ridge Rd
Matthews, NC 28105-5009
Mailing address
4099 Campus Ridge Rd
Matthews, NC 28105-5009
Phone (704) 815-3939
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 |
|---|---|---|---|
| 5368 | NC | MD | Veterinarian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363651200000",
"number": "1871835728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4099 CAMPUS RIDGE RD",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281055009",
"telephone_number": "704-815-3939",
"fax_number": "704-815-3940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4099 CAMPUS RIDGE RD",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281055009",
"telephone_number": "704-815-3939",
"fax_number": "704-815-3940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGMAN",
"first_name": "ROBERT",
"middle_name": "LORING",
"name_prefix": "Dr.",
"credential": "D.V.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-03-19",
"last_updated": "2013-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "174M00000X",
"taxonomy_group": "",
"desc": "Veterinarian",
"state": "NC",
"license": "5368",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Matthews, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.