JASON BERGMANN (NPI# 1992217129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992217129 |
| Entity Type | Individual |
| Full Name | JASON BERGMANN |
| Credential | CPED |
| Practice Address |
1864 Johns Dr Glenview IL 60025-1657 |
| Practice Telephone | 8477297923 |
| Enumeration Date | 2017-10-27 |
| Last Update Date | 2017-10-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224L00000X | Pedorthist | 212.000209 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1864 JOHNS DR |
| City | GLENVIEW |
| State | IL |
| Zip Code | 60025-1657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043678931 | Natural Balance Orthotics | Podiatrist | 1864 Johns Dr, Glenview, IL 60025-1657 | 2016-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790287118 | Nl Speech and Language Path LLC | Speech-Language Pathologist | 1315 Sherwood Rd., Glenview, IL 60025 | 2018-03-01 |
| 1982128021 | Quinn Goodwin | Speech-Language Pathologist | 41 Waukegan Rd., Glenview, IL 60025 | 2017-07-31 |
| 1447773684 | Roshni Jaimon | Nurse Practitioner | 616 Meadow Dr, Glenview, IL 60025 | 2017-07-19 |
| 1053840488 | Progressive Behavior Solutions LLC | Behavioral Analyst | 2519 Allison Court, Glenview, IL 60025 | 2017-06-08 |
| 1720529969 | Catherine Marquard | Social Worker | 1949 Robincrest Ln, Glenview, IL 60025 | 2017-03-20 |
| 1073055398 | Imad Dababneh | Optometrist | 4150 Williamsburg Ct. Apt 101, Glenview, IL 60025 | 2016-11-17 |
| 1417400565 | Megan Bowman | Nutritionist | 1332 Waukegan Rd., Glenview, IL 60025 | 2016-07-25 |
| 1548621402 | Integrated Care Servises Corp | In Home Supportive Care | 4001 Amalfi Dr., Glenview, IL 60025 | 2016-03-18 |
| 1003277237 | Caring Nurses, Inc | Home Health | 1701 East Lake Ave, Suite 360, Glenview, IL 60025 | 2016-03-16 |
| 1033570841 | Sumy Johny | Pharmacist | 25 Waukegan Road, Glenview, IL 60025 | 2016-03-08 |
| Find all providers in zip 60025 | ||||
| Taxonomy Code | 224L00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Pedorthist |
| An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices. |
| Notes: Source: National Uniform Claim Committee [7/1/2010: new] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962979534 | William Rooney | Pedorthist | 121 E Roosevelt Rd Ste B, Lombard, IL 60148-4561 | 2018-10-31 |
| 1386139145 | Edgar Alexander Barrios | Pedorthist | 307 W Saint Paul St, Spring Valley, IL 61362-1860 | 2018-06-25 |
| 1588168439 | Deborah Marie Adolfino | Pedorthist | 1s376 Summit Ave., Ct. E, Oakbrook Terrace, IL 60181 | 2018-03-23 |
| 1093217036 | Arnold Arellano | Pedorthist | 5202 Old Orchard Road, N100, Skokie, IL 60077 | 2018-03-06 |
| 1073015269 | Michael Martin Fishkin | Pedorthist | 508 Abbeywood Dr, Cary, IL 60013-2470 | 2018-03-02 |
| 1780185694 | Robin Spencer | Pedorthist | 1710 E Woodfield Rd Ste 555, Schaumburg, IL 60173-5153 | 2018-02-26 |
| 1023369501 | Mario Donald Hodge | Pedorthist | 1024 Jordan St, Mount Vernon, IL 62864-4231 | 2012-09-25 |
| 1225531494 | Evelyn A Ventrice | Pedorthist | 1551 Bond St Ste 111, Naperville, IL 60563-0150 | 2018-03-14 |
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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.