Individual provider Active NPI

Cynthia Ann Bergmann, MD

  • Gynecology Physician
  • Fresno, CA
National Provider Identifier
1992899090
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
G459750 Issued in CA
Practice address
6167 N Fresno St Ste 102
Fresno, CA 93710-8610
Phone
(559) 322-2255
Fax
(559) 322-4636
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X G459750 CA Primary

Addresses

Primary practice location

6167 N Fresno St Ste 102
Fresno, CA 93710-8610

Mailing address

6167 N Fresno St Ste 102
Fresno, CA 93710-8610
Phone (559) 322-2255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090616000246 CA Practitioner - Obstetrics/Gynecology 8224188123 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Medical College of Wisconsin, 1979
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Canterbury Womens Health Care Medical Group IncGroup PAC ID 3173566163, 2 clinicians

Practice addresses (Care Compare)

6167 N Fresno St
Suite 102
Fresno, CA 93710-8610
Phone (559) 322-2255

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G459750CAMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Canterbury Womens Health Care Medical Group Inc CurrentSince Feb 28, 1988 Accepting new patients

Locations

7045 N Maple Ave
Ste 101
Fresno, CA 93720
Phone (559) 326-7393

6167 N Fresno St
Ste 102
Fresno, CA 93710
Phone (559) 322-2255

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1992899090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6167 N FRESNO ST STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937108610",
            "telephone_number": "559-322-2255",
            "fax_number": "559-322-4636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6167 N FRESNO ST STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937108610",
            "telephone_number": "559-322-2255",
            "fax_number": "559-322-4636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGMANN",
        "first_name": "CYNTHIA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CA",
            "license": "G459750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.