DR. LAWRENCE RUSSELL BERGMAN (NPI# 1073518130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073518130 |
| Entity Type | Individual |
| Full Name | DR. LAWRENCE RUSSELL BERGMAN |
| Credential | M.D. |
| Practice Address |
10115 W Forest Hill Blvd Ste 303 Wellington FL 33414-3102 |
| Practice Telephone | 5617985565 |
| Practice Fax Number | 5617989756 |
| Mailing Telephone | 5617985565 |
| Mailing Fax Number | 5617989756 |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2011-09-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
ME56164 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 003224800 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811083934 | Lawrence A Bergman | Internal Medicine | 1950 Hassell Road, Hoffman Estates, IL 60195 | 2006-10-05 |
| Street Address |
10115 W FOREST HILL BLVD STE 303 |
| City | WELLINGTON |
| State | FL |
| Zip Code | 33414-3102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710289780 | Western Surgical Specialists Pa | Surgery | 10115 W Forest Hill Blvd, Suite 302, Wellington, FL 33414-3105 | 2010-11-24 |
| 1952538167 | Prime Md LLC | Family Medicine | 10115 W Forest Hill Blvd, Suite 102, Wellington, FL 33414-3105 | 2009-06-15 |
| 1588838742 | Andrew J Shapiro Md Pa | Surgery | 10115 W Forest Hill Blvd, Suite 405, Wellington, FL 33414-3105 | 2008-04-18 |
| 1861689192 | Joan Katherine Wahl | Physician Assistant | 10115 W Forest Hill Blvd, Suite 100, Wellington, FL 33414-3105 | 2007-10-01 |
| 1821284316 | Palm Beach Podiatric Center | Podiatrist | 10115 W Forest Hill Blvd, Suite 302, Wellington, FL 33414-3105 | 2007-09-19 |
| 1417075326 | Sandra E. Aneti | Internal Medicine | 10115 W Forest Hill Blvd, Suite 200, Wellington, FL 33414-3105 | 2007-03-27 |
| 1962547109 | Jeffrey Carl Lerner | Podiatrist | 10115 W Forest Hill Blvd, Suite 302, Wellington, FL 33414-3105 | 2007-02-21 |
| 1689742157 | South Florida Center of Gastroenterology | Internal Medicine | 10115 W Forest Hill Blvd, Suite 100, Wellington, FL 33414-3105 | 2006-12-01 |
| 1003909888 | Gastrocare, LLP | Internal Medicine | 10115 W Forest Hill Blvd, Suite 100, Wellington, FL 33414-3105 | 2006-10-02 |
| 1487760856 | David G. Simon | Dentist | 10115 W Forest Hill Blvd, Suite 301, Wellington, FL 33414-3105 | 2006-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932707247 | Juana Maria Gonzales | Home Health | 2766 Penhall Ct, Wellington, FL 33414 | 2020-10-09 |
| 1821601089 | Wellington Rehab and Health Center, LLC | Skilled Nursing Facility | 10330 Nu Vista Ave, Wellington, FL 33414 | 2020-08-27 |
| 1730661158 | Michelle Alexis Anagnostu | Nurse Practitioner | 1447 Medical Park Blvd Suite 406, Wellington, FL 33414 | 2018-09-01 |
| 1932686193 | Borola Inc | Occupational Therapy Assistant | 1985 Canterbury Circle, Wellington, FL 33414 | 2018-07-20 |
| 1841783156 | Kid'z World Advance Inc | Behavioral Analyst | 2400 Wrotham Ter, Wellington, FL 33414 | 2018-06-11 |
| 1134619489 | Devin Michael Scheller | Counselor | 2077 Vinings Circle Apt 1303, Wellington, FL 33414 | 2018-05-12 |
| 1942726617 | Amanda Hardy | Social Worker | 11120 South Way, Suite 1, Wellington, FL 33414 | 2017-08-15 |
| 1467976423 | Dawn Carnegia Blackshear | Nurse Practitioner | 1397 Medical Park Blvd Ste 480, Wellington, FL 33414 | 2017-08-01 |
| 1508390238 | Morgan Mccollum | Speech-Language Pathologist | 2158 Polo Gardens Dr Apt 203, Wellington, FL 33414 | 2017-04-19 |
| 1003369786 | Memite G Charlemagne | Registered Nurse | 184 Berenger Walk, Royal Palm Beach, FL 33414 | 2016-07-28 |
| Find all providers in zip 33414 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992098222 | Steven E Rahman | Pediatrics | 3319 State Road 7 Ste 109, Wellington, FL 33449-8067 | 2011-05-19 |
| 1093931651 | Simo and Bruck Pediatrics,llc | Pediatrics | 10111 W Forest Hill Blvd Rm 150, Wellington, FL 33414-6157 | 2007-04-18 |
| 1710083811 | Steven Earnest Rahman | Pediatrics | 3319 State Road 7, Ste 109, Wellington, FL 33449-8094 | 2006-09-15 |
| 1518922319 | Rosa Amelia Marron-fernandez | Pediatrics | 12788 W Forest Hill Blvd, Suite 1001, Wellington, FL 33414-4703 | 2006-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033768981 | North Florida Pediatrics, Pa | Pediatrics | 4501 Atlantic Boulevard, Jacksonville, FL 32207 | 2019-09-04 |
| 1609424217 | North Florida Pediatrics, Pa | Pediatrics | 145 Hilden Road Suite 101, Ponte Vedra, FL 32081 | 2019-08-27 |
| 1841794682 | W.b. Stewart Tigers Athletics Boosters | Pediatrics | 1658 Kings Rd, Jacksonville, FL 32209-6167 | 2018-03-19 |
| 1710330923 | Juan Ruiz-unger Md Pa | Pediatrics | 8900 Sw 24th St Ste 204, Miami, FL 33165-2075 | 2016-07-22 |
| 1922479625 | Bee Well Kidz Inc | Pediatrics | 13802 Landstar Blvd Ste 109, Orlando, FL 32824-5500 | 2015-10-08 |
| 1326418336 | Abc Pediatrics of Okaloosa | Pediatrics | 182 E. Redstone Ave, Suite B, Crestview, FL 32539 | 2015-10-02 |
| 1679965487 | Howard I Finer Md Faap | Pediatrics | 2135 W State Road 434, Longwood, FL 32779-4983 | 2015-03-03 |
| 1154712198 | Pediatric &adolescent Medicine | Pediatrics | 7150 W 20th Ave Ste 612, Hialeah, FL 33016-5534 | 2015-02-12 |
| 1689064750 | Hilda Tejero | Pediatrics | 9495 Sunset Dr Ste B190, Miami, FL 33173-5419 | 2015-01-28 |
| 1720494024 | Focus-fl 1012 Pllc | Pediatrics | 1501 S Dale Mabry Hwy Ste A6, Tampa, FL 33629-5837 | 2014-07-08 |
| Find all providers with the same taxonomy | ||||
| City | WELLINGTON |
| Zip Code | 33414 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.