MARY LEE BERGMAN (NPI# 1164740544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164740544 |
| Entity Type | Individual |
| Full Name | MARY LEE BERGMAN |
| Credential | A.P. |
| Practice Address |
3079 E. Commercial Blvd Suite 201 Fort Lauderdale FL 33308-4311 |
| Practice Telephone | 9545511243 |
| Mailing Telephone | 9545511243 |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2010-10-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | 404 | FL | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497059729 | Mary E. Bergman | Physician Assistant | 2580 Frontage Rd, Petersburg, VA 23805-9309 | 2010-12-30 |
| 1861538159 | Mary Bergman | Social Worker | 1101 W University Dr, Rochester, MI 48307-1863 | 2007-01-30 |
| 1134187982 | Mary Catherine Bergman | Pediatrics | 3500 Gaston Ave, Baylor Univ Medical Center 5th Floor Truett, Dallas, TX 75246-2096 | 2006-05-02 |
| Street Address |
3079 E. COMMERCIAL BLVD SUITE 201 |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33308-4311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215558788 | Marina Silva Ferreira | Student in an Organized Health Care Education/Training Program | Univ of Miami Miller School of Med Holy Cross Hospital, 4725 N Federal Highway, Fort Lauderdale, FL 33308 | 2020-05-06 |
| 1013538040 | Mehak Bansal | Student in an Organized Health Care Education/Training Program | 4725 N Federal Highway University of Miami, Miller School of Medicine Holy Cross Hospital Internal, Fort Lauderdale, FL 33308 | 2020-04-30 |
| 1285269266 | Roman Castell | Massage Therapist | 2480 E Commercial Blvd Ste 3, Fort Lauderdale, FL 33308 | 2020-03-10 |
| 1124667969 | Icarevip, Inc | Internal Medicine | 4800 N. Federal Highway, Suite 200, Fort Lauderdale, FL 33308 | 2019-12-26 |
| 1629612932 | Lana A Simmonds | Nurse Practitioner | 4390 N. Federal Hwy, Unit 101, Fort Lauderdale, FL 33308 | 2019-10-30 |
| 1063997260 | Kneaded Therapy, Inc | Physical Medicine & Rehabilitation | 2746 E Commerical Blvd., Ft. Lauderdale, FL 33308 | 2018-10-03 |
| 1518452184 | Colleen Lynn Culbertson | Nurse Anesthetist, Certified Registered | 1930 Ne 47th St Ste 308, Ft Lauderdale, FL 33308 | 2018-06-26 |
| 1962910562 | Healing Therapy Center Pllc | Social Worker | Healing Therapy, 1919 Ne 45th Street, Suite 225, Ft. Lauderale, FL 33308 | 2018-01-17 |
| 1376066647 | Carlos Jose Garcia | Student in an Organized Health Care Education/Training Program | 4725 North Federal Highway Suite 501, Fort Lauderdale, FL 33308 | 2017-07-19 |
| 1407381940 | Heather Hickson Lac LLC | Clinic/Center | 5353 North Federal Highway, Ste 220, Fort Lauderdale, FL 33308 | 2017-04-21 |
| Find all providers in zip 33308 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417588948 | Alpha Acupuncture, LLC | Acupuncturist | 1128 Se 3rd Ave, Fort Lauderdale, FL 33316-1110 | 2020-02-03 |
| 1063054328 | Alexandra Suozzo | Acupuncturist | 24 Sw 10th St, Fort Lauderdale, FL 33315-1272 | 2019-10-08 |
| 1154981108 | Ashley H Chabaud | Acupuncturist | 2740 E Oakland Park Blvd Ste 101, Fort Lauderdale, FL 33306-1675 | 2019-06-20 |
| 1548733637 | Ilyas Ambeyah Hamid | Acupuncturist | 4952 Sw 38th Way, Fort Lauderdale, FL 33312-8239 | 2019-01-10 |
| 1841772928 | Ricardo Donato Villalba | Acupuncturist | 1000 Riverside Dr, Fort Lauderdale, FL 33312-7611 | 2018-09-05 |
| 1548742356 | Inspire Acupuncture | Acupuncturist | 1000 Riverside Drive, Fort Lauderdale, FL 33312 | 2018-08-29 |
| 1962980136 | Ll Beauchamp, Inc | Acupuncturist | 1310 Sw 2nd Ct Apt 211, Fort Lauderdale, FL 33312-7706 | 2018-07-31 |
| 1548627367 | Wellness Way Family Health | Acupuncturist | 2085 Sw 29 Ave, Fort Lauderdale, FL 33312 | 2016-01-25 |
| 1164802245 | Julia Glukhovskaya | Acupuncturist | 2110 N Ocean Blvd Apt 1401, Fort Lauderdale, FL 33305-1952 | 2015-06-04 |
| 1538569157 | Ana Toriello | Acupuncturist | 3307 Ne 33rd St, Fort Lauderdale, FL 33308-7109 | 2014-09-02 |
| Find all providers in FORT LAUDERDALE | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33308 |
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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.