Individual provider Active NPI

Kiki Hoang Tran-Bergman, DPM

  • Podiatrist
  • Tampa, FL
National Provider Identifier
1891888533
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO 3059 Issued in FL
Practice address
6301 Memorial Hwy Ste 301
Tampa, FL 33615-4573
Phone
(813) 249-5050
Fax
(813) 358-3582
NPI assigned
Oct 2, 2006
Last updated
Mar 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 3059 FL
Podiatrist 213E00000X PO 3059 FL Primary

Addresses

Primary practice location

6301 Memorial Hwy Ste 301
Tampa, FL 33615-4573

Mailing address

6301 Memorial Hwy Ste 301
Tampa, FL 33615-4573
Phone (813) 249-5050

Other identifiers 1

IdentifierTypeStateIssuer
340404800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050311000642 FL Practitioner - Podiatry 0042264095 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6301 Memorial Hwy
Suite 301
Tampa, FL 33615-4573
Phone (813) 854-3338

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue199
Removal or shaving of skin growth14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3059FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
A Well-Healed Foot PA Podiatrist CurrentSince Mar 14, 2005 Accepting new patients
KG Health Partners, Inc Podiatrist PastSince Nov 5, 2012 Accepting new patients

Locations

13648 W Hillsborough Ave
Tampa, FL 33635

6301 Memorial Hwy
Ste 301
Tampa, FL 33615
Phone (813) 249-5050

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1891888533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 MEMORIAL HWY STE 301",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336154573",
            "telephone_number": "813-249-5050",
            "fax_number": "813-358-3582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 MEMORIAL HWY STE 301",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336154573",
            "telephone_number": "813-249-5050",
            "fax_number": "813-358-3582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN-BERGMAN",
        "first_name": "KIKI",
        "middle_name": "HOANG",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "3059",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO 3059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340404800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.