PHYLLIS ESTES BERGMAN


Address: 2207 San Pedro Dr Ne, Albuquerque, NM 87110-4117
Phone: 5052816131

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 2207 SAN PEDRO DR NE
City ALBUQUERQUE
State NM
Zip Code 87110-4117

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LX0001X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Obstetrics & Gynecology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City ALBUQUERQUE
Zip Code 87110

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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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