PHYLLIS ESTES BERGMAN (NPI# 1679865844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679865844 |
Entity Type | Individual |
Full Name | PHYLLIS ESTES BERGMAN |
Credential | NP |
Practice Address |
2207 San Pedro Dr Ne Albuquerque NM 87110-4117 |
Mailing Address |
Po Box 64 Cedar Crest NM 87008-0064 |
Practice Telephone | 5052816131 |
Mailing Telephone | 5052816131 |
Enumeration Date | 2011-05-06 |
Last Update Date | 2011-05-06 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
CNP 00742 | NM | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2207 SAN PEDRO DR NE |
City | ALBUQUERQUE |
State | NM |
Zip Code | 87110-4117 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497821581 | Michael Shayne Hopkins | Specialist | 2207 San Pedro Dr Ne, Albuquerque, NM 87110-4175 | 2006-11-28 |
1467668723 | The Plastic Surgery Center, P.C. | Surgery | 2207 San Pedro Dr Ne, Albuquerque, NM 87110-4175 | 2007-05-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215550199 | Sabrina Jennifer Lujan | Counselor | 8401 Constitution Ave Nw, Albuquerque, NM 87110 | 2020-05-26 |
1649829318 | Robert D. Oliver | Technician | 2705 Texas Street Ne, Albuquerque, NM 87110 | 2019-09-05 |
1033770904 | Life Re-created LLC | Counselor | 3939 San Pedro Dr. Ne, Bld C, Ste 8, Albuquerque, NM 87110 | 2019-06-21 |
1497319693 | Clear Choice Vision Care, LLC | Optometrist | 6600 Menaul Blve Ne, Suite M5a, Albuquerque, NM 87110 | 2019-04-24 |
1790257558 | Diana M Nicolas | Dietitian, Registered | 8300 Constitution Ave Ne Bld D, Albuquerque, NM 87110 | 2018-12-18 |
1689168403 | Robin N Hermes, Md, PC | Anesthesiology | 2440 Lousiana Blvd. Ne, Ste 580, Albuquerque, NM 87110 | 2018-06-15 |
1710481726 | Desert Mountain Eyecare LLC | Optometrist | 5504 Menaul Blvd Ne Ste Aandb, Albuquerque, NM 87110 | 2018-03-23 |
1659873131 | Amanda Lacasse | Registered Nurse | 6400 Uptown Blvd Ne Suite 360 West, Albuquerque, NM 87110 | 2018-03-01 |
1518485655 | Danielle Liegh Wyne | Counselor | 6121 Indian School Rd, Suite 141, Albuquerque, NM 87110 | 2017-09-08 |
1265957237 | Myrrhine Faller | Speech-Language Pathologist | 6020 Constitution Ave. Ne, Suite 4, Albuquerque, NM 87110 | 2017-08-10 |
Find all providers in zip 87110 |
Taxonomy Code | 363LX0001X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Obstetrics & Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356392989 | Kristen Gorbitz | Nurse Practitioner | 883 Lead Ave Se, Ste A, Albuquerque, NM 87102-3644 | 2006-05-16 |
1740273192 | Celeste Baczeski Suminsby | Nurse Practitioner | 6320 Riverside Plaza Ln Nw Ste A, Albuquerque, NM 87120 | 2005-08-31 |
1689920449 | Rebecca Tawney Weatherford | Nurse Practitioner | 3741 Rutledge Rd Ne, Albuquerque, NM 87109-5566 | 2012-07-31 |
1942445101 | Rose Rowan | Nurse Practitioner | 801 Vassar Dr Ne, Albuquerque, NM 87106 | 2008-12-02 |
1922167816 | Donna Walker | Nurse Practitioner | 1001 Coal Ave Se, Albuquerque, NM 87106-5205 | 2006-12-06 |
1386718922 | Kristin Schreurs | Nurse Practitioner | 201 Cedar St Se, Ste. 5640, Albuquerque, NM 87106-4917 | 2006-11-17 |
1801821871 | Nancy M Fryeweaver | Nurse Practitioner | 5150 Journal Center Blvd Ne, Albuquerque, NM 87109 | 2006-07-11 |
1366475857 | Rebecca Reiter | Nurse Practitioner | 5400 Gibson Se, Albuquerque, NM 87108 | 2006-07-08 |
1477505196 | Daphne Johnson | Nurse Practitioner | 883 Lead Ave Se, Ste A, Albuquerque, NM 87102-3644 | 2006-05-17 |
1144299744 | Cynthia Gay Hull | Nurse Practitioner | 201 Cedar St Se, Albuquerque, NM 87106-4917 | 2006-03-16 |
Find all providers in ALBUQUERQUE |
City | ALBUQUERQUE |
Zip Code | 87110 |
Please comment or provide details below to improve the information on PHYLLIS ESTES BERGMAN.
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.