Active NPI
Beth R. Bergman, MSN, RN, APN-C
- Family Nurse Practitioner
- Glendora, NJ
National Provider Identifier
1891901781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 26NJ00035700
- Practice address
- 1300 Black Horse Pike
Glendora, NJ 08029-1308 - Phone
- (856) 939-2828
- NPI assigned
- May 15, 2007
- Last updated
- Oct 20, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 26NJ00035700 | NJ | Primary |
Addresses
Primary practice location
1300 Black Horse Pike
Glendora, NJ 08029-1308
Mailing address
364 Tuvira LN
Cherry Hill, NJ 08003-2671
Phone (856) 489-8456
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bbergman12130@directvirtua.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3242 Route 206
Bordentown, NJ 08505-4517
401 Young Ave
Moorestown, NJ 08057-3130
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00035700 | NJ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virtua Medical Group, PA | Current | Accepting new patients | |
| Virtua Medical Group, PA | Current | Accepting new patients |
Locations
3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340
401 Young Ave
Ste 380A
Moorestown, NJ 08057
Phone (856) 291-8650
Interoperability endpoints
- bbergman12130@directvirtua.org
- beth.bergman@familypracticeassociatesofvoorheespa.chartmakerdirect.com
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.
-
- Family Medicine Physician
- Marlton, NJ
- NPI 1649226515
-
dba Virtua Reconstructive Orthopedics - Delran
- Orthopaedic Surgery Physician
- Delran, NJ
- NPI 1841087988
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Virtua Mount Holly Hospital
- General Acute Care Hospital
- Mount Holly, NJ
- NPI 1134125016
-
dba Virtua Home Care at West Jersey
- Home Health Agency
- Marlton, NJ
- NPI 1316943004
-
- General Acute Care Hospital
- Voorhees, NJ
- NPI 1528064409
-
dba Virtua Our Lady of Lourdes Hospital
- General Acute Care Hospital
- Camden, NJ
- NPI 1235134024
-
dba Virtua Health & Wellness Center
- General Acute Care Hospital
- Willingboro, NJ
- NPI 1053316844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603152000000",
"number": "1891901781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "364 TUVIRA LN",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080032671",
"telephone_number": "856-489-8456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 BLACK HORSE PIKE",
"city": "GLENDORA",
"state": "NJ",
"postal_code": "080291308",
"telephone_number": "856-939-2828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGMAN",
"first_name": "BETH",
"middle_name": "R.",
"credential": "MSN, RN, APN-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-15",
"last_updated": "2020-10-20",
"certification_date": "2020-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NJ00035700",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bbergman12130@directvirtua.org",
"affiliation": "N",
"address_1": "401 Young Ave Ste 380A",
"city": "Moorestown",
"state": "NJ",
"country_code": "US",
"postal_code": "080573130",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Glendora, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.