Kenneth S Bergman (NPI# 1669443032, PAC ID# 3375520851) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RADIATION ONCOLOGY.
Nation Provider ID (NPI) | 1669443032 |
PAC ID by PECOS | 3375520851 |
Professional Enrollment ID | I20040701001525 |
Full Name | Kenneth S Bergman |
Organization Legal Name | TACOMA RADIATION CENTER INC |
Address |
314 Mlk Jr Way Tacoma WA 98405-4269 |
Phone Number | 2536276172 |
Gender | M |
Credential | MD |
Medical School | UNIVERSITY OF CALIFORNIA, UCLA SCHOOL OF MEDICINE |
Graduation Year | 1990 |
Primary Specialty | RADIATION ONCOLOGY |
Group Practice PAC ID | 1658260302 |
Number of Group Practice Members | 9 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
020024 | CENTRAL PENINSULA GENERAL HOSPITAL |
500021 | ST CLARE HOSPITAL |
Address | Phone | Organization |
---|---|---|
314 Mlk Jr Way, Tacoma, WA 98405-4269 | 2536276172 | TACOMA RADIATION CENTER INC |
314 Mlk Jr Way, Suite 11, Tacoma, WA 98405-4269 | 2536276172 | TACOMA RADIATION CENTER INC |
Organization Legal Name | TACOMA RADIATION CENTER INC |
Physicians | 9 |
Name | Specialty | Organization | Address |
---|---|---|---|
Ann C Pittier | Radiation Oncology | Tacoma Radiation Center Inc | 314 Mlk Jr Way, Suite 11, Tacoma, WA 98405-4269 |
Nathan H J Bittner | Radiation Oncology | Tacoma Radiation Center Inc | 400 15th Ave Se, Suite A, Puyallup, WA 98372-3750 |
Michael J Mcdonough | Radiation Oncology | Tacoma Radiation Center Inc | 314 Mlk Jr Way, Suite 11, Tacoma, WA 98405-4269 |
Wendy Gao | Radiation Oncology | Tacoma Radiation Center Inc | 314 Mlk Jr Way, Suite 11, Tacoma, WA 98405-4269 |
Dean G Mastras | Radiation Oncology | Tacoma Radiation Center Inc | 314 Mlk Jr Way, Suite 11, Tacoma, WA 98405-4269 |
Herbert L Wang | Radiation Oncology | Tacoma Radiation Center Inc | 314 Mlk Jr Way, Suite 11, Tacoma, WA 98405-4269 |
Randy D Sorum | Radiation Oncology | Tacoma Radiation Center Inc | 314 Mlk Jr Way, Suite 11, Tacoma, WA 98405-4269 |
Audrey B Tran | Radiation Oncology | Tacoma Radiation Center Inc | 400 15th Ave Se, Suite A, Puyallup, WA 98372-3750 |
Street Address |
314 MLK JR WAY |
City | TACOMA |
State | WA |
Zip | 98405-4269 |
Name | Specialty | Organization | Address |
---|---|---|---|
Ann C Pittier | Radiation Oncology | Tacoma Radiation Center Inc | 314 Mlk Jr Way, Suite 11, Tacoma, WA 98405-4269 |
Michael J Mcdonough | Radiation Oncology | Tacoma Radiation Center Inc | 314 Mlk Jr Way, Suite 11, Tacoma, WA 98405-4269 |
Wendy Gao | Radiation Oncology | Tacoma Radiation Center Inc | 314 Mlk Jr Way, Suite 11, Tacoma, WA 98405-4269 |
Dean G Mastras | Radiation Oncology | Tacoma Radiation Center Inc | 314 Mlk Jr Way, Suite 11, Tacoma, WA 98405-4269 |
Herbert L Wang | Radiation Oncology | Tacoma Radiation Center Inc | 314 Mlk Jr Way, Suite 11, Tacoma, WA 98405-4269 |
Randy D Sorum | Radiation Oncology | Tacoma Radiation Center Inc | 314 Mlk Jr Way, Suite 11, Tacoma, WA 98405-4269 |
Name | Specialty | Organization | Address |
---|---|---|---|
Julie Ann Cunningham | Nurse Practitioner | Stephen B Hillis, M.d. Ps Inc | 1901 S Cedar, Suite 108, Tacoma, WA 98405 |
Michael W Chandler | Anesthesiology | Tacoma Anesthesia Associates Inc Ps | 3111 S L St, Tacoma, WA 98405 |
Stephen B Hillis | Family Medicine | Stephen B Hillis, M.d. Ps Inc | 1901 S Cedar, Suite 108, Tacoma, WA 98405 |
Klaus D Mergener | Gastroenterology | Washington Gastroenterology Pllc | 315 Mlk Jr Way, Tacoma, WA 98405 |
Gerald W Anderson | General Surgery | 315 Mlk Jr Way, Tacoma, WA 98405 | |
John Daniel Wanwig | Psychiatry | 4050 S 19th St, Suite 200, Tacoma, WA 98405-0001 | |
Alice Phuong Nguyen | Optometry | 1965 S Union Ave, Tacoma, WA 98405-1017 | |
Neil Partain | Internal Medicine | South Sound Inpatient Physicians Pllc | 1901 S Union Ave, Tacoma, WA 98405-1017 |
Richard M Bradford | Internal Medicine | South Sound Inpatient Physicians Pllc | 1901 S Union Ave, Tacoma, WA 98405-1017 |
Ugochukwu Uwaoma | Internal Medicine | South Sound Inpatient Physicians Pllc | 1901 S Union Ave, Tacoma, WA 98405-1017 |
Find all physicians in zip 98405 |
City | TACOMA |
Zip Code | 98405 |
Specialty | RADIATION ONCOLOGY |
City + Specialty | TACOMA + RADIATION ONCOLOGY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.