MICHAEL BERGMAN


Address: 6327 S Grand Blvd, Apt 1g, Saint Louis, MO 63111-2653
Phone: 3143332103

MICHAEL BERGMAN (NPI# 1790225084) 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) 1790225084
Entity Type Individual
Full Name MICHAEL BERGMAN
Practice Address 6327 S Grand Blvd
Apt 1g
Saint Louis
MO 63111-2653
Practice Telephone 3143332103
Mailing Telephone 3143332103
Enumeration Date 2017-03-06
Last Update Date 2017-03-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist Other Service Providers

Other Providers MICHAEL BERGMAN

NPI Name Taxonomy Address Enumeration
1780090290 Michael Bergman Pharmacist 201 Us Route 7 South, Milton, VT 05468 2014-07-03
1780694331 Michael David Bergman Internal Medicine 215 Sherman Ave, Hamden, CT 06518-2125 2006-08-08
1164483905 Michael I Bergman Internal Medicine 953 49th Street, Brooklyn, NY 11219 2006-03-31
1972050466 Michael I Bergman Counselor 801 N. Montesano St., Westport, WA 98595 2016-09-01
1649516493 Michael Bergman Pharmacist 345 Jacaranda Blvd, Venice, FL 34292-2450 2012-12-26
1255608857 Michael P Bergman Internal Medicine 1215 Lee St Fl 3, Charlottesville, VA 22908-0904 2011-11-27
1134445760 Michael Adam Bergman Physician Assistant 30 Shelburne Rd, Stamford, CT 06902-3628 2010-04-07
1952548307 Michael Morgan Bergman Nurse Practitioner 15900 College Blvd, Ste 100, Lenexa, KS 66219-1369 2009-01-07
1265631014 Michael S. Bergman Psychologist 901 Nueces St, Austin, TX 78701-2217 2007-07-12
1659437572 Michael M Bergman Internal Medicine 5361 Nw 22nd Ave, Miami, FL 33142-8035 2006-12-28

Office Location

Street Address 6327 S GRAND BLVD
APT 1G
City SAINT LOUIS
State MO
Zip Code 63111-2653

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992291660 Ebony Cannon Behavior Technician 7700 Minosotta Ave, St.louis, MO 63111 2018-07-06
1811310212 Danny Brown Home Health 5328 Virginia, Saint Louis, MO 63111 2014-01-22
1548387681 Raymond Joseph Skosky Dentist 5530 Virginia Avenue, Saint Louis, MO 63111 2007-03-23
1972666782 Diane P Hamill Optometrist 1012 Loughborough Commons, St. Louis, MO 63111 2006-12-19
1073673828 Bethesda Long Term Care, Inc. Custodial Care Facility 4431 South Broadway, St. Louis, MO 63111 2006-12-11
1669542668 Anna D Naumovich Internal Medicine 5205 South Grand Ave, St Louis, MO 63111 2006-11-08
1417040114 Tony Thien Tang Internal Medicine 4675 South Grand Blvd., St. Louis, MO 63111 2006-10-02
1790736171 Robert Clarence Egan Surgery 3535 South Jefferson Ste 101, Ste 101, St Louis, MO 63111 2006-05-12
1790340438 Marco Samuel Garcia Student in an Organized Health Care Education/Training Program 401 Holly Hills Ave, Saint Louis, MO 63111 2019-05-08
1154717593 Nucrown, LLC Optometrist 1012 Loughborough Commons, Saint Louis, MO 63111 2015-04-13
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497381990 Styles 40 Salon Specialist 4550 Gravois Ave, Saint Louis, MO 63116-2426 2020-03-16
1013560721 Against The Grainz Specialist 8523 Drury Ln, Saint Louis, MO 63147-1313 2019-07-22
1487211033 Kia Lanay Lewis Specialist 9700 Portage Dr, Saint Louis, MO 63136-5312 2019-05-20
1376011007 Lashonda S Wash Specialist 222 Bruce Ave, Saint Louis, MO 63135-2704 2018-11-12
1326516048 Showna Walker Specialist 2242 Berwyn Dr, Saint Louis, MO 63136-5415 2018-11-12
1760973697 Angela Haas Specialist 1361 Childress Ave, Saint Louis, MO 63139-3451 2018-05-26
1962907782 Kelsey Conley Specialist 2839 Howard St, Saint Louis, MO 63106-2027 2018-03-25
1285135848 Che Salon Specialist 8416 Olive Blvd, Saint Louis, MO 63132-2816 2018-02-27
1275082406 Tim Fick Specialist 5157 Lemay Ferry Rd, Saint Louis, MO 63129-1533 2016-09-29
1083067649 West County Gastroenterology LLC Specialist 12950 Woodlark Ln, Saint Louis, MO 63131-1314 2016-07-19
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Competitor

Search similar providers

City SAINT LOUIS
Zip Code 63111

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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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