DR. ELDO WILLIAM BERGMAN JR. (NPI# 1912455106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912455106 |
| Entity Type | Individual |
| Full Name | DR. ELDO WILLIAM BERGMAN JR. |
| Credential | M.D. |
| Practice Address |
3130 Rogerdale Rd Ste 180 Houston TX 77042-6069 |
| Practice Telephone | 7137847373 |
| Practice Fax Number | 7137847279 |
| Mailing Telephone | 7137847373 |
| Mailing Fax Number | 7137847279 |
| Enumeration Date | 2016-09-15 |
| Last Update Date | 2016-09-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
F2553 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
3130 ROGERDALE RD STE 180 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77042-6069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942823208 | Carlton Petties II | Registered Nurse | 2424 Willcrest Drive, 110, Houston, TX 77042 | 2020-05-21 |
| 1922566645 | Crystal Ann White | Registered Nurse | 2424 Wildcrest Suite 110, Houston, TX 77042 | 2019-03-12 |
| 1558825158 | Egheosemene Ebadan | Registered Nurse | 2424 Wilcrest Drive, Suite 110, Houston, TX 77042 | 2019-01-28 |
| 1225510670 | Adiba Maureen Agbu | Registered Nurse | 2424 Wilcrest Drive 110, Houston, TX 77042 | 2018-09-02 |
| 1023590460 | Ashlyn Nicole Parks | Licensed Vocational Nurse | 110, 2424 Wilcrest Dr, Houston, TX 77042 | 2018-09-01 |
| 1497250757 | Westchase Emergency Center, LLC | Emergency Medicine | 11103 Westheimer Rd, Houston, TX 77042 | 2018-03-28 |
| 1194225011 | Delores Sublett | Registered Nurse | 9797 Meadowglen 1013, Houston, TX 77042 | 2018-02-16 |
| 1073012068 | Brandon C. Cervantes | Nurse Anesthetist, Certified Registered | 1500 Citywest Blvd. Ste. 300, Houston, TX 77042 | 2018-02-06 |
| 1851805782 | Ideal Dental of Westchase Pllc | Dentist | 2550 Citywest Blvd, Suite 300, Houston, TX 77042 | 2017-11-30 |
| 1851814131 | Elizabeth Kaluanya | Nurse Practitioner | 9850 Meadowglen Ln Apt 142, Houston, TX 77042 | 2017-07-19 |
| Find all providers in zip 77042 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265790273 | Hsiao-tuan Chao | Psychiatry & Neurology | 6701 Fannin St Ste 1250, Houston, TX 77030-2612 | 2012-04-26 |
| 1912291287 | Kimberly M Houck | Psychiatry & Neurology | 6701 Fannin St Ste 950, Houston, TX 77030-2611 | 2011-06-04 |
| 1891939252 | Irene Patniyot | Psychiatry & Neurology | Baylor College of Medicine 6701 Fannin, Suite 1250, Houston, TX 77030-0001 | 2009-04-28 |
| 1437149333 | Joshua S Rotenberg | Psychiatry & Neurology | 902 Frostwood Dr Ste 210, Suite 210, Houston, TX 77024-2426 | 2005-10-24 |
| 1578021937 | Neurology and Epilepsy Consultants Pllc | Psychiatry & Neurology | 2321 Southwest Fwy, Houston, TX 77098-4701 | 2019-03-05 |
| 1972921799 | Carlos Alberto Perez | Psychiatry & Neurology | 6410 Fannin St, Suite 500, Houston, TX 77030-3000 | 2014-03-29 |
| 1649697681 | Ariel Maia Lyons-warren | Psychiatry & Neurology | 6701 Fannin St, Cc1250, Houston, TX 77030-2608 | 2014-03-27 |
| 1063856847 | Nikita Malani Shukla | Psychiatry & Neurology | 6701 Fannin St Ste 1250, Houston, TX 77030-2612 | 2013-04-23 |
| 1780931527 | Yen Xuan Tran | Psychiatry & Neurology | 6701 Fannin St, Houston, TX 77030-2608 | 2012-08-10 |
| 1013262286 | Nivedita Thakur | Psychiatry & Neurology | 6410 Fannin St, Utpb 732, Houston, TX 77030-3000 | 2012-07-13 |
| Find all providers in HOUSTON | ||||
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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.