PORRETTA & BERGMAN MD, PC (NPI# 1487782785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487782785 |
| Entity Type | Organization |
| Organization Name | PORRETTA & BERGMAN MD, PC |
| Practice Address |
29990 Northwestern Hwy Farmington Hills MI 48334-3225 |
| Practice Telephone | 2485386463 |
| Practice Fax Number | 2485386470 |
| Mailing Telephone | 2485386463 |
| Mailing Fax Number | 2485386470 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2016-08-17 |
| Authorized Official Name | DR. RONALD H BERGMAN (PRESIDENT) |
| Authorized Official Telephone | 2485386463 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760937072 | Porretta & Bergman Md, PC | Specialist | 32255 Northwestern Hwy, Suite 130, Farmington Hills, MI 48334-1566 | 2016-08-17 |
| Street Address |
29990 NORTHWESTERN HWY |
| City | FARMINGTON HILLS |
| State | MI |
| Zip Code | 48334-3225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376534164 | Stephen M Tait | Ophthalmology | 29990 Northwestern Hwy, Farmington Hills, MI 48334-3225 | 2005-11-02 |
| 1003915737 | Erik Henry Belcarz | Optometrist | 29990 Northwestern Hwy, Farmington Hills, MI 48334-3225 | 2006-09-21 |
| 1619946423 | Anthony C Porretta | Legal Medicine | 29990 Northwestern Hwy, Farmington Hills, MI 48334-3225 | 2006-03-15 |
| 1225015399 | Ronald H Bergman | Ophthalmology | 29990 Northwestern Hwy, Farmington Hills, MI 48334-3225 | 2005-12-29 |
| 1740272061 | Gary David Bergman | Ophthalmology | 29990 Northwestern Hwy, Farmington Hills, MI 48334-3225 | 2005-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264535 | Kiah Bradley | Behavior Technician | 2777 Inkster Rd Suite 100, Farmington Hills, MI 48334 | 2020-10-29 |
| 1417557307 | Carsen D Dresbach | Behavior Technician | 2777 Inster Road Suite 100, Farmington Hills, MI 48334 | 2020-10-29 |
| 1316560303 | Amy K Pruneau LLC | Psychologist | 26755 Middlebelt Rd Ste 140, Farmington Hills, MI 48334 | 2020-05-25 |
| 1366089732 | Vian Aljony | Dental Hygienist | 27273 Arden Park Cir, Farmington Hills, MI 48334 | 2019-12-04 |
| 1699311902 | Sandra Zori | Pharmacist | 27800 Middlebelt Rd, Farmington Hills, MI 48334 | 2019-11-21 |
| 1902450471 | Kianna Marie Garcia | Behavior Technician | 27777 Inkster Rd., Farmington Hills, MI 48334 | 2019-08-01 |
| 1619521176 | Samantha Serra | Behavior Technician | 27777 Inkster Rd Suite 100, Farmington Hills, MI 48334 | 2019-08-01 |
| 1851945398 | Kristen Butler | Behavior Technician | 27777 Inkster Road Suite 100, Farmington Hills, MI 48334 | 2019-08-01 |
| 1104489038 | Katherine Kalsow | Behavioral Analyst | 27777 Inkster Rd. Suite 100, Farmington Hills, MI 48334 | 2019-04-16 |
| 1083178487 | Imee Raterta | Physical Therapist | Ability Works Rehab, 28592 Orchard Lake Rd # 300, Farmington Hills, MI 48334 | 2019-01-30 |
| Find all providers in zip 48334 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932579844 | Deanna Michelle Caston | Specialist | 21001 Green Hill Rd Apt 274, Farmington Hills, MI 48335-4512 | 2015-10-05 |
| 1558511576 | Dena Newberry-meyer | Specialist | 27240 Haggerty Rd Ste E15, Farmington Hills, MI 48331-5716 | 2008-09-26 |
| 1669639647 | Michigan Comprehensive Medic Al Evaluations | Specialist | 23700 Orchard Lake Rd Ste A, Farmington Hills, MI 48336-2559 | 2008-05-19 |
| 1427228568 | Theresa Favata | Specialist | 27240 Haggerty Rd Ste E-15, Farmington Hills, MI 48331-5716 | 2008-03-05 |
| 1497843668 | Tayfur R Ayalp | Specialist | 28499 Orchard Lake Rd, Suite #2, Farmington Hills, MI 48334-3702 | 2006-10-11 |
| 1760937072 | Porretta & Bergman Md, PC | Specialist | 32255 Northwestern Hwy, Suite 130, Farmington Hills, MI 48334-1566 | 2016-08-17 |
| 1952752420 | Samantha Zak | Specialist | 27777 Inkster Rd, Farmington Hills, MI 48334-5326 | 2016-06-27 |
| 1710236518 | Joseph Berenholz, M.d., Pllc | Specialist | 30445 Northwestern Hwy, Suite 140, Farmington Hills, MI 48334-3158 | 2012-09-07 |
| 1750618716 | Cheryl A Goodreau | Specialist | 23800 Orchard Lake Rd, Ste 101, Farmington Hills, MI 48336-2560 | 2009-11-12 |
| 1154570414 | Rebecca Forth | Specialist | 27240 Haggerty Rd, Suite E15, Farmington Hills, MI 48331-5716 | 2008-09-11 |
| Find all providers in FARMINGTON HILLS | ||||
| City | FARMINGTON HILLS |
| Zip Code | 48334 |
Please comment or provide details below to improve the information on PORRETTA & BERGMAN MD, PC.
| 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.