Organization Active NPI

Karin K. Bergman, M.D., P.a.

  • Family Medicine Physician
  • Frisco, TX
National Provider Identifier
1942498274
Registry record updated Mar 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L3582 Issued in TX
Legal business name
KARIN K. BERGMAN, M.D., P.A.
Practice address
5150 Warren Pkwy Ste 705B
Frisco, TX 75034-7463
Phone
(214) 494-6200
Fax
(214) 494-6075
NPI assigned
Oct 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2018

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

Authorized official

Name
Dr. Karin Kay Bergman, MDNPI 1386646594
Title
Owner
Phone
(214) 494-6200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X L3582 TX Primary

Addresses

Primary practice location

5150 Warren Pkwy Ste 705B
Frisco, TX 75034-7463

Mailing address

5150 Warren Pkwy Ste 705B
Frisco, TX 75034-7463
Phone (214) 494-6200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120224000475 TX Part B Supplier - Clinic/Group Practice 8921266701 Receives reassigned benefits from 1 practitioner
Practice locations: Frisco, TX

National Provider Directory

National Provider Directory

Locations

5150 Warren Pkwy
Ste 705B
Frisco, TX 75034
Phone (214) 494-6200

5150 Warren Pkwy
Ste 705
Frisco, TX 75034
Phone (214) 494-6200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521504000000",
    "number": "1942498274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 WARREN PKWY STE 705B",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750347463",
            "telephone_number": "214-494-6200",
            "fax_number": "214-494-6075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 WARREN PKWY STE 705B",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750347463",
            "telephone_number": "214-494-6200",
            "fax_number": "214-494-6075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARIN K. BERGMAN, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-11",
        "last_updated": "2018-03-20",
        "status": "A",
        "authorized_official_last_name": "BERGMAN",
        "authorized_official_first_name": "KARIN",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-494-6200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L3582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.