GARY J BERGMAN (NPI# 1568412005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568412005 |
| Entity Type | Individual |
| Full Name | GARY J BERGMAN |
| Credential | MD |
| Practice Address |
6303 Little River Tpke #300 Alexandria VA 22312 |
| Mailing Address |
3802 Latrobe Court Fairfax VA 22031 |
| Practice Telephone | 7039148989 |
| Practice Fax Number | 7039145494 |
| Mailing Telephone | 7035915775 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 0101030752 | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356448971 | Gary Bergman | Obstetrics & Gynecology | 3402 William Flynn Hwy, Allison Park, PA 15101-3801 | 2006-09-17 |
| 1407875776 | Gary Duane Bergman | Orthopaedic Surgery | 2979 Squalicum Pkwy, Suite #203, Bellingham, WA 98225-1811 | 2006-07-18 |
| 1740272061 | Gary David Bergman | Ophthalmology | 29990 Northwestern Hwy, Farmington Hills, MI 48334-3225 | 2005-08-23 |
| Street Address |
6303 LITTLE RIVER TPKE #300 |
| City | ALEXANDRIA |
| State | VA |
| Zip Code | 22312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366408817 | Paula A Manion | Nurse Practitioner | 6303 Little River Tpke, # 300, Alexandria, VA 22312 | 2006-04-25 |
| 1205206257 | Alexandria Children's Dentistry, PC | Clinic/Center | 6303 Little River Tpke, Suite 345, Alexandria, VA 22312-5000 | 2015-10-03 |
| 1982008405 | Sarah Zahnen | Nurse Practitioner | 6303 Little River Tpke, Alexandria, VA 22312-5000 | 2014-10-13 |
| 1801208350 | Lauren Beth Gibberman | Dentist | 6303 Little River Tpke, Suite 205, Alexandria, VA 22312-5000 | 2014-06-02 |
| 1619318466 | Maria Hodas | Dentist | 6303 Little River Tpke, Suite 205, Alexandria, VA 22312-5000 | 2013-07-09 |
| 1861780710 | Kare Management Solutions LLC | Home Health | 6303 Little River Tpke, Suite 330, Alexandria, VA 22312-5000 | 2011-07-13 |
| 1013213875 | Nadeem Ikram | Durable Medical Equipment & Medical Supplies | 6303 Little River Tpke, Suite Number 335, Alexandria, VA 22312-5000 | 2011-01-26 |
| 1629395736 | Krupa B Playforth | Pediatrics | 6303 Little River Tpke, Suite 300, Alexandria, VA 22312-5000 | 2010-04-28 |
| 1609074301 | Patricia Youngmee Tae | Pediatrics | 6303 Little River Tpke, Suite 300, Alexandria, VA 22312 | 2007-07-05 |
| 1932306362 | Melissa Faye Goldblatt | Nurse Practitioner | 6303 Little River Tpke, Suite 300, Alexandria, VA 22312-5000 | 2007-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639710429 | Lake Barcroft Dental Group, PC | Dentist | 6464 A1 Lincolnia Rd, Alexandria, VA 22312 | 2019-10-02 |
| 1538684790 | Feras Ibrahim Hawari | Internal Medicine | 4714 Minor Cir, Alexandria, VA 22312 | 2017-08-09 |
| 1285081984 | Nicole Heidbreder Lehr | Behavioral Analyst | 5400 Shawnee Rd Ste 208, Alexandria, VA 22312 | 2016-05-23 |
| 1922486372 | Fassity Home Care LLC | Home Health | 6601 Little River Turn Pike, Suit 210, Alexandria, VA 22312 | 2015-05-18 |
| 1730582107 | Prospect Homecare Agency | Home Health | 5568 General Washington Drive, Suite A 203, Alexandria, VA 22312 | 2014-09-30 |
| 1396926952 | Fairfax Home Health Care, Inc. | Home Health | 4810 Beauregard Street, Suite G4, Alexandria, VA 22312 | 2007-11-23 |
| 1114047768 | Occupational Health Centers of The Southwest, P.a., P.C. | Clinic/Center | 5590 General Washington Drive, Alexandria, VA 22312 | 2007-03-29 |
| 1548339682 | Virginia Pathology Svcs PC | Pathology | 6121 Lincolnia Rd, Suite 108, Alexandria, VA 22312 | 2006-11-06 |
| 1336150531 | Joel Carlton Goldstein | Dentist | 4605 B Pinecrest Office Park Dr, Alexandria, VA 22312 | 2006-08-11 |
| 1619915923 | Jong K Lee | Family Medicine | 4605 A Pinecrest Office, Alexandria, VA 22312 | 2006-06-02 |
| Find all providers in zip 22312 | ||||
| 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 |
|---|---|---|---|---|
| 1205454774 | Jackson Street Pediatrics, LLC | Pediatrics | 5716 Jackson St, Alexandria, LA 71303-2042 | 2020-07-10 |
| 1205221942 | Carlos A. Cruz, Md, PC | Pediatrics | 1707 Osage St Ste 303, Alexandria, VA 22302-2611 | 2015-03-31 |
| 1447508163 | Arnold Jay Zedd | Pediatrics | 2621 Jamestown Lane, #203, Alexandria, VA 22314-5882 | 2012-08-28 |
| 1104102987 | Reynaldo Fraga | Pediatrics | 4518 Seminary Road, Juan R. Fraga M.d., Alexandria, VA 22304 | 2011-10-25 |
| 1144417544 | Chandanjeet Sidhu | Pediatrics | 2616 Sherwood Hall Ln Ste 106, Alexandria, VA 22306-3154 | 2007-09-29 |
| 1780886481 | Cathy Southammakosane | Pediatrics | 1500 N Beauregard St Ste 200, Alexandria, VA 22311-1700 | 2007-06-04 |
| 1215156898 | Rhodes Pediatric Clinic | Pediatrics | 37 Calvert Dr, Alexandria, LA 71303-3520 | 2007-04-24 |
| 1346363769 | Robert Bregman | Pediatrics | 4480 King St., Alex Health Dept, Alexandria, VA 22302 | 2007-04-09 |
| 1013035575 | Emily B Remus | Pediatrics | 1451 Belle Haven Rd Ste 110, Alexandria, VA 22307-1201 | 2007-03-26 |
| 1598880791 | Terri W Cummings | Pediatrics | 3628 Ransom Pl, Alexandria, VA 22306-1473 | 2007-03-20 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 22312 |
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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.