EMILY VICTORIA BERGSTROM (NPI# 1881154177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881154177 |
| Entity Type | Individual |
| Full Name | EMILY VICTORIA BERGSTROM |
| Credential | MD |
| Practice Address |
Baylor Scott & White Clinic 425 University Blvd., Suite 345 Round Rock TX 78665 |
| Practice Telephone | 5125090200 |
| Mailing Telephone | 5125090200 |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2019-03-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184254146 | Emily Diane Bergstrom | Counselor | 2365 N 34th St, Boise, ID 83703-5523 | 2020-01-18 |
| 1255810669 | Emily Bergstrom | Counselor | 1145 Sagamore Ave, Portsmouth, NH 03801 | 2018-08-08 |
| Street Address |
BAYLOR SCOTT & WHITE CLINIC 425 UNIVERSITY BLVD., SUITE 345 |
| City | ROUND ROCK |
| State | TX |
| Zip Code | 78665 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314306 | Prolab Incorporated | Clinical Medical Laboratory | Pro-lab Diagnostics Us, 21 Cypress Blvd. Ste. 1155, Round Rock, TX 78665 | 2020-07-31 |
| 1902420391 | Seton Family of Doctors | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 201 University Oaks Blvd, Suite 1260, Round Rock, TX 78665 | 2020-06-02 |
| 1629538848 | Julie Mai Nguyen | Student in an Organized Health Care Education/Training Program | 425 University Blvd., Suite 300, Ms-m2 3.006, Round Rock, TX 78665 | 2019-03-22 |
| 1710473210 | Brandi Weldon | Doula | 1561 Kenneys Way, Round Rock, TX 78665 | 2018-07-08 |
| 1528564531 | Stacy Danielle Arrington | Student in an Organized Health Care Education/Training Program | Baylor Scott & White Medical Center- Round Rock, 425 University Blvd, Suite 300, Ms-m2 3.005, Round Rock, TX 78665 | 2018-03-30 |
| 1386152601 | Stephanie Michelle Martinez | Behavioral Analyst | 1503 Balsam Way, Round Rock, TX 78665 | 2018-01-22 |
| 1245758507 | The Natural Birthing Center, LLC | Clinic/Center | 1101 Satellite View Suite 104, Round Rock, TX 78665 | 2017-09-06 |
| 1386160554 | Bloom Consulting, LLC | Community/Behavioral Health | 3001 Joe Dimaggio Blvd Ste 800, Round Rock, TX 78665 | 2017-08-18 |
| 1508387226 | Ipyana Anyelwisye | Psychologist | 3636 Short Horn Ln, Round Rock, TX 78665 | 2017-07-03 |
| 1427506385 | Pam Rehabilitation Hospital of Round Rock, LLC | Rehabilitation Hospital | 351 Seton Parkway, Round Rock, TX 78665 | 2016-09-20 |
| Find all providers in zip 78665 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194348508 | Alyssa Aikman | Student in an Organized Health Care Education/Training Program | 515 E Palm Valley Blvd Apt 726, Round Rock, TX 78664-3068 | 2020-05-20 |
| 1740811322 | David Smith | Student in an Organized Health Care Education/Training Program | 1620 Belvedere Pl, Round Rock, TX 78665-5658 | 2020-01-31 |
| 1124589098 | Leena Chandna | Student in an Organized Health Care Education/Training Program | 8413 Jackal Dr, Round Rock, TX 78681-3856 | 2019-03-25 |
| 1629538848 | Julie Mai Nguyen | Student in an Organized Health Care Education/Training Program | 425 University Blvd., Suite 300, Ms-m2 3.006, Round Rock, TX 78665 | 2019-03-22 |
| 1366930653 | Luis Alberto Alcala | Student in an Organized Health Care Education/Training Program | 425 University Blvd Ste 300, Round Rock, TX 78665-1058 | 2018-04-23 |
| 1528564531 | Stacy Danielle Arrington | Student in an Organized Health Care Education/Training Program | Baylor Scott & White Medical Center- Round Rock, 425 University Blvd, Suite 300, Ms-m2 3.005, Round Rock, TX 78665 | 2018-03-30 |
| 1710409818 | Matthew Ryan Mcglennon | Student in an Organized Health Care Education/Training Program | 425 University Blvd Ste 345, Round Rock, TX 78665-1058 | 2017-07-10 |
| 1427599208 | Michael James Weipert | Student in an Organized Health Care Education/Training Program | 1008 Hidden View Pl, Round Rock, TX 78665-1182 | 2017-03-14 |
| 1659823870 | Dylan Cruz I | Student in an Organized Health Care Education/Training Program | 3710 Hawk Ridge St, Round Rock, TX 78665-1130 | 2016-11-04 |
| 1144682972 | Ashley Nicole Smith | Student in an Organized Health Care Education/Training Program | 1820 Chincoteague Way, Round Rock, TX 78681-7100 | 2016-03-22 |
| Find all providers in ROUND ROCK | ||||
| City | ROUND ROCK |
| Zip Code | 78665 |
Please comment or provide details below to improve the information on EMILY VICTORIA BERGSTROM.
| 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.