Organization Active NPI

Bergstrom Home Medical

  • Durable Medical Equipment & Medical Supplies
  • Warren, MI
National Provider Identifier
1891823308
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
BERGSTROM HOME MEDICAL
Practice address
13770 E 14 Mile Rd
Warren, MI 48088-1487
Phone
(586) 415-6788
Fax
(586) 415-7515
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
William Dean Bergstrom
Title
President
Phone
(586) 415-6788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X MI Primary

Addresses

Primary practice location

13770 E 14 Mile Rd
Warren, MI 48088-1487

Mailing address

13770 E 14 Mile Rd
Warren, MI 48088-1487
Phone (586) 415-6788

National Provider Directory

National Provider Directory

Locations

13770 E 14 Mile Rd
Warren, MI 48088
Phone (586) 415-6788

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1891823308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13770 E 14 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480881487",
            "telephone_number": "586-415-6788",
            "fax_number": "586-415-7515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13770 E 14 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480881487",
            "telephone_number": "586-415-6788",
            "fax_number": "586-415-7515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGSTROM HOME MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BERGSTROM",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-415-6788"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.