Jane Elizabeth Bergman, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL006199L Issued in PA

Practice address

3975 Conshohocken Ave
Philadelphia, PA 19131-5426

Phone

(215) 879-1000

Fax

(215) 879-3912

NPI assigned

Apr 16, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366156800000",
    "number": "1932324852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 LUTHER ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180184814",
            "telephone_number": "610-694-9303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3975 CONSHOHOCKEN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191315426",
            "telephone_number": "215-879-1000",
            "fax_number": "215-879-3912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGMAN",
        "first_name": "JANE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2013-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL006199L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019271510003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diane Bergin, M.D.
• Lisa Marguerite Bergkoetter, RN
• Abigail Brenda Bergman-Sieger, M.D.
• Christine Bergman, LCSW
• Emet Pearl Bergman, LCSW
• Heather Bergmann, CRNP
• Christina A Bergqvist, M.D.
• Alexander Joseph Bergsman
• Adrianna Michelle Bergstein, MD
• Michael Beris

• Speech-Language Pathologist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.

Verify at the official NPI Registry.