DR. JEFFERY J BERGMAN (NPI# 1164653929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164653929 |
| Entity Type | Individual |
| Full Name | DR. JEFFERY J BERGMAN |
| Credential | D.O. |
| Practice Address |
1350 Hickory St Melbourne FL 32901-3224 |
| Mailing Address |
4690 Rummell Rd Bergman Medical LLC Saint Cloud FL 34771-9696 |
| Practice Telephone | 3214347208 |
| Practice Fax Number | 3214345344 |
| Mailing Telephone | 4076804182 |
| Enumeration Date | 2009-07-28 |
| Last Update Date | 2014-09-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | OS11615 | FL | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | P0550 | TX | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 4739 | OK | Allopathic & Osteopathic Physicians |
| Street Address |
1350 HICKORY ST |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32901-3224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437159670 | Igor Balatsky | Internal Medicine | 1350 Hickory St, Hrmc/hospitalist Program, Melbourne, FL 32901-3224 | 2005-07-29 |
| 1346855301 | Anushree Patel | Anesthesiologist Assistant | 1350 Hickory St, Melbourne, FL 32901-3224 | 2020-09-15 |
| 1316565492 | Megan Bellinger | Dietitian, Registered | 1350 Hickory St, Melbourne, FL 32901-3224 | 2020-07-06 |
| 1427673011 | Jessica Joy Milnor | Nurse Anesthetist, Certified Registered | 1350 Hickory St, Melbourne, FL 32901-3278 | 2020-06-10 |
| 1487274205 | Eric Cuthbert | Registered Nurse | 1350 Hickory St, Melbourne, FL 32901-3224 | 2020-04-22 |
| 1366061970 | Lisa Kistler | Pharmacist | 1350 Hickory St, Melbourne, FL 32901-3278 | 2020-04-14 |
| 1194344168 | Tracy Eichelberger | Respiratory Therapist, Registered | 1350 Hickory St, Melbourne, FL 32901-3278 | 2020-04-10 |
| 1477198752 | Matthew Robert Ferraro | Pharmacist | 1350 Hickory St, Melbourne, FL 32901-3224 | 2019-11-11 |
| 1356983092 | Parvin Deidri Daneshvar | Registered Nurse | 1350 Hickory St, Melbourne, FL 32901-3224 | 2019-10-15 |
| 1972155489 | David Nester Lucas | Family Medicine | 1350 Hickory St, Melbourne, FL 32901-3224 | 2019-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062943 | George Pappas | Anesthesiologist Assistant | 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 | 2020-08-09 |
| 1124676820 | Abbi Dell Lee | Behavioral Analyst | 3251 Engineering St, Melbourne, FL 32901 | 2019-08-27 |
| 1750856878 | Jeffrey Michael Cavanagh | Behavior Technician | 3251 Engineering Street, Melbourne, FL 32901 | 2018-10-04 |
| 1740766021 | Amanda Miller | Behavior Technician | 1885 W Hibiscus Blvd, Melbourne, FL 32901 | 2018-07-19 |
| 1396244406 | Dragen II LLC | Urology | 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 | 2018-02-03 |
| 1225550692 | Cabrit Psychotherapy Services LLC | Marriage & Family Therapist | 100 Rialto Place, Suite 700, Melbourne, FL 32901 | 2017-07-07 |
| 1487188058 | Project Response, Inc. | Clinic/Center | 747 S. Apollo Boulevard, Melbourne, FL 32901 | 2017-04-20 |
| 1184174575 | Paulette Swanson | Physical Therapist | 611 East Sheridan Rd, Melbourne, FL 32901 | 2016-10-10 |
| 1841747839 | Nicholas Wilson | Social Worker | 3661 S. Babcock St., Melbourne, FL 32901 | 2016-09-07 |
| 1467804278 | Nickolas Hetherington | Occupational Therapist | 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 | 2016-07-05 |
| Find all providers in zip 32901 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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/certificatio - 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 |
|---|---|---|---|---|
| 1477029825 | The Brevard Health Alliance, Inc. | Pediatrics | 2120 Sarno Rd Ste 2, Melbourne, FL 32935-3084 | 2018-10-23 |
| 1891150231 | Sharon Dillon Md, Pa | Pediatrics | 3150 N Wickham Rd Ste 6, Melbourne, FL 32935-2322 | 2015-12-30 |
| 1396962734 | Florida Pediatric Group Pa | Pediatrics | 240 N Wickham Rd Ste 102, Melbourne, FL 32935-8663 | 2007-04-19 |
| 1669559563 | Anne H Beressi | Pediatrics | 1270 N Wickham Rd Ste 50, Melbourne, FL 32935-8939 | 2006-11-01 |
| 1558311282 | Sharon Angela Dillon | Pediatrics | 3150 N Wickham Rd, Melbourne, FL 32935-2322 | 2006-05-11 |
| 1134193816 | Ellen M Altenburg | Pediatrics | 6300 N Wickham Rd Ste 132b, Melbourne, FL 32940-2023 | 2006-02-17 |
| 1235139973 | Paul Tebbe | Pediatrics | 7332 Office Park Pl, Suite 103, Melbourne, FL 32940-8241 | 2005-07-22 |
| 1841290566 | Heather Findlan | Pediatrics | 1755 W Hibiscus Blvd, Melbourne, FL 32901-2616 | 2005-07-22 |
| 1912901455 | Robert D. Karch | Pediatrics | 1350 S Hickory Street, Holmes Regional Medical Center, Melbourne, FL 32901 | 2005-06-13 |
| 1649273178 | David Andrew Helft | Pediatrics | 1310 W Eau Gallie Blvd, Suite C, Melbourne, FL 32935-5300 | 2005-05-30 |
| Find all providers in MELBOURNE | ||||
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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.