DR. ANDREW JASON BERGMAN


Address: 6309 Lima Rd, Fort Wayne, IN 46818-1425
Phone: 2604971033

DR. ANDREW JASON BERGMAN (NPI# 1619359981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619359981
Entity Type Individual
Full Name DR. ANDREW JASON BERGMAN
Credential PHARMD
Practice Address 6309 Lima Rd
Fort Wayne
IN 46818-1425
Mailing Address 11226 Morning Glory Pass
Harlan
IN 46743-7553
Practice Telephone 2604971033
Practice Fax Number 2604971065
Mailing Telephone 2604379001
Enumeration Date 2015-06-23
Last Update Date 2015-06-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835P1200X Pharmacist
Specialization: Pharmacotherapy
26026041A IN Pharmacy Service Providers

Other Providers ANDREW BERGMAN

NPI Name Taxonomy Address Enumeration
1831629138 Andrew Ryan Bergman Physical Therapist 15809 Bear Creek Pkwy Ste 100, Redmond, WA 98052-1542 2017-06-19
1528499555 Andrew S Bergman Specialist/Technologist 401 Young Ave Ste 245, Moorestown, NJ 08057 2013-12-02

Office Location

Street Address 6309 LIMA RD
City FORT WAYNE
State IN
Zip Code 46818-1425

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275558140 Arcadia Healthcare Solutions, Inc. Nursing Care 6309 Lima Rd, Fort Wayne, IN 46818-1425 2006-07-13
1952793861 Richard Hoch Pharmacist 6309 Lima Rd, Fort Wayne, IN 46818-1425 2015-03-02
1588076863 Ryan Ades Pharmacist 6309 Lima Rd, Fort Wayne, IN 46818-1425 2014-05-21
1619389095 John Phillip Purvis Pharmacist 6309 Lima Rd, Fort Wayne, IN 46818-1425 2014-05-20
1265843270 Amy Jennings Pharmacist 6309 Lima Rd, Fort Wayne, IN 46818-1425 2014-05-13
1013255884 Usv Optical Inc. Eyewear Supplier (Equipment, not the service) 6309 Lima Rd, Fort Wayne, IN 46818-1425 2013-01-29
1578834974 Meijer Stores Limited Partnership Durable Medical Equipment & Medical Supplies 6309 Lima Rd, Fort Wayne, IN 46818-1425 2012-01-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710464938 Heather Smith Day Training/Habilitation Specialist 9434 Lima Road, Suite C, Fort Wayne, IN 46818 2018-07-20
1184146748 Danielle Macias Speech-Language Pathologist 4935 Hillegas Road, Suite 200, Fort Wayne, IN 46818 2017-07-14
1801326533 Kimberly M Kindt Optometrist 9426 Lima Rd Ste C, Fort Wayne, IN 46818 2017-06-15
1578983359 Sarah Buzzard Occupational Therapy Assistant 9426 Lima Road, A, Fort Wayne, IN 46818 2014-04-21
1306196704 Peter Yang Gaw Go Occupational Therapist 3406 Bluefield Place, Fort Wayne, IN 46818 2012-09-12
1043593536 Carol Lynn Steinbach Massage Therapist 12101 Hand Rd., Fort Wayne, IN 46818 2011-09-21
1295058071 Summit Nutrition Services, LLC Dietitian, Registered 3027 Mariposa Place, Fort Wayne, IN 46818 2010-03-08
1184871899 The Arc of Northeast Indiana, Inc Intermediate Care Facility, Mentally Retarded 9104 Strathmore Lane, Fort Wayne, IN 46818 2008-08-25
1285851121 Angela Coleman Dentist 10505 Lima Road, Fort Wayne, IN 46818 2007-04-20
1942335534 Angela S King Dentist 9019 Lima Road, Fort Wayne, IN 46818 2007-02-22
Find all providers in zip 46818

Taxonomy Information

Taxonomy Code 1835P1200X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacotherapy

Taxonomy Definition

A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy.
Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033259197 V E Butler and Associates PC Pharmacist 2700 S. Lafayette St, Communitycare Pharmacy, Fort Wayne, IN 46806-1100 2007-02-07
1669951877 Kristen Elizabeth Christman Pharmacist 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 2018-08-08
1255820163 Timothy Lee Johnston Pharmacist 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 2018-05-07
1134618150 Elizabeth Meisberger Pharmacist 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 2018-05-04
1649702176 Chris Johnson Pharmacist 5909 Illinois Rd, Fort Wayne, IN 46804-1159 2017-04-03
1003228974 Margaret Mcdonald Pharmacist 5909 Illinois Rd, Fort Wayne, IN 46804-1159 2014-05-27
1487066676 Gerald Ellis Pharmacist 10301 E State Road 37, Fort Wayne, IN 46835-9591 2014-05-22
1588076863 Ryan Ades Pharmacist 6309 Lima Rd, Fort Wayne, IN 46818-1425 2014-05-21
1619389095 John Phillip Purvis Pharmacist 6309 Lima Rd, Fort Wayne, IN 46818-1425 2014-05-20
1033521497 Steve Rigdon Pharmacist 10301 Maysville Rd, Fort Wayne, IN 46835-9591 2014-05-20
Find all providers in FORT WAYNE

Competitor

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City FORT WAYNE
Zip Code 46818

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Dataset Information

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.

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