DR. GARY DAVID BERGMAN (NPI# 1740272061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740272061 |
| Entity Type | Individual |
| Full Name | DR. GARY DAVID BERGMAN |
| Credential | M.D. |
| 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 | 2005-08-23 |
| Last Update Date | 2011-04-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 4301024824 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4344888 | 05 | |
| MA | BLUE CROSS BLUE SHEILD | 1806306371 | 01 |
| 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 |
| 1568412005 | Gary J Bergman | Pediatrics | 6303 Little River Tpke, #300, Alexandria, VA 22312 | 2006-05-12 |
| 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 |
| 1487782785 | Porretta & Bergman Md, PC | Specialist | 29990 Northwestern Hwy, Farmington Hills, MI 48334-3225 | 2007-03-01 |
| 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 |
| 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 | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851727697 | Sidney Lawrence Stone | Ophthalmology | 28853 Nottoway Drive, Farmington Hills, MI 48331 | 2013-09-25 |
| 1174885982 | Salma Noorulla | Ophthalmology | 32229 Red Clover Rd, Unit 1r, Farmington Hills, MI 48334-3554 | 2012-06-08 |
| 1376534164 | Stephen M Tait | Ophthalmology | 29990 Northwestern Hwy, Farmington Hills, MI 48334-3225 | 2005-11-02 |
| 1821093535 | Matthew P Koehler | Ophthalmology | 28501 Orchard Lake Rd, 120, Farmington Hills, MI 48334-2951 | 2005-06-17 |
| 1487979647 | Yaldo Eye Centers PC | Ophthalmology | 28501 Orchard Lake Rd, Farmington Hills, MI 48334-2951 | 2010-03-31 |
| 1407060874 | Tlc Michigan, LLC | Ophthalmology | 34405 W 12 Mile Rd, Suite 154, Farmington Hills, MI 48331-3391 | 2007-05-09 |
| 1649330051 | Tina D. Turner | Ophthalmology | Henry Ford Health System, 27750 Middlebelt Road-suite 150, Farmington Hills, MI 48334 | 2006-12-08 |
| 1912067315 | Harpreet Kaur Gill | Ophthalmology | Henry Ford Health System, 27750 Middlebelt Road-suite 150, Farmington Hills, MI 48334 | 2006-12-08 |
| 1023198603 | Associates In Ophthalmology PC | Ophthalmology | 27555 Farmington Rd, Ste 130, Farmington Hills, MI 48334-3376 | 2006-10-17 |
| 1043221187 | Mazin K Yaldo | Ophthalmology | 28501 Orchard Lake Rd, Suite 120, Farmington Hills, MI 48334-2951 | 2006-08-11 |
| Find all providers in FARMINGTON HILLS | ||||
| City | FARMINGTON HILLS |
| Zip Code | 48334 |
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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.