MR. MICHAEL ADAM BERGMAN (NPI# 1134445760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134445760 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL ADAM BERGMAN |
| Credential | PA-C |
| Practice Address |
30 Shelburne Rd Stamford CT 06902-3628 |
| Mailing Address |
30 Shelburne Rd Po Box 9317 Stamford CT 06902-3628 |
| Practice Telephone | 2032767076 |
| Mailing Telephone | 2032767076 |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2015-02-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
003256 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
013878 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790225084 | Michael Bergman | Specialist | 6327 S Grand Blvd, Apt 1g, Saint Louis, MO 63111-2653 | 2017-03-06 |
| 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 |
| 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 |
| Street Address |
30 SHELBURNE RD |
| City | STAMFORD |
| State | CT |
| Zip Code | 06902-3628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558351759 | Bo Xu | Pathology | 30 Shelburne Rd, Stamford, CT 06902-3628 | 2005-10-27 |
| 1518311984 | Pankil Desai | Student in an Organized Health Care Education/Training Program | 30 Shelburne Rd, Stamford, CT 06902-3628 | 2016-04-21 |
| 1033571229 | Rami Al-aref | Surgery | 30 Shelburne Rd, Stamford, CT 06902-3628 | 2016-03-25 |
| 1508228198 | Borna Dabiri | Student in an Organized Health Care Education/Training Program | 30 Shelburne Rd, Stamford, CT 06902-3628 | 2016-03-23 |
| 1073971735 | Tyler Ferraro | Physician Assistant | 30 Shelburne Rd, Stamford, CT 06902-3628 | 2016-02-09 |
| 1376901256 | Vanie Mangal | Physician Assistant | 30 Shelburne Rd, Stamford, CT 06902-3628 | 2016-02-05 |
| 1487023115 | Cynthia Degracia | Spec/Tech, Pathology | 30 Shelburne Rd, Stamford, CT 06902-3628 | 2015-09-23 |
| 1154708873 | Kelly Fellows | Obstetrics & Gynecology | 30 Shelburne Rd, Stamford, CT 06902-3628 | 2015-05-01 |
| 1932595360 | Somera Chaudhry | Internal Medicine | 30 Shelburne Rd, Dept of Medicine, Stamford, CT 06902-3628 | 2015-04-13 |
| 1043606486 | Chao Guo | Internal Medicine | 30 Shelburne Rd, Dept of Medicine, Stamford, CT 06902 | 2015-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861043242 | Palak Bhambri | Pharmacist | 537 Canal Street, Stamford, CT 06902 | 2019-09-26 |
| 1730654815 | Brenice Duroseau | Nurse Practitioner | 292 Long Ridge Rd Ste 202, Stamford, CT 06902 | 2018-10-04 |
| 1447732862 | Ngoc Lam | Pharmacist | 1990 West Main Street, Stamford, CT 06902 | 2018-09-01 |
| 1336627264 | Margaret F Gorelick | Nurse Practitioner | Stamford Health, One Hospital Plaza, Stamford, CT 06902 | 2018-08-02 |
| 1174053425 | Ashley Marie Santana | Social Worker | 110 Commons Park N Apt 1158, Stamford, CT 06902 | 2017-06-19 |
| 1578090395 | Anas Al-sabbagh | Dentist | 1 Strawberry Hill Court Suite L7 Stamford, Connecticut, Stamford, CT 06902 | 2017-05-11 |
| 1154862936 | Hillary Rubin | Psychologist | 44 Commerce Avenue, Stamford, CT 06902 | 2017-03-14 |
| 1801332135 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1 Hospital Plz Ste G122, Stamford, CT 06902 | 2017-01-10 |
| 1932563277 | Mary Hurtadodemendoza | Pharmacist | 59 Courtland Ave 2m, Stamford, CT 06902 | 2016-04-13 |
| 1235592247 | Advanced Therapy and Performance LLC | Physical Medicine & Rehabilitation | 75 Selleck Street, Stamford, CT 06902 | 2016-03-29 |
| Find all providers in zip 06902 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285280065 | Carly Wachtel | Physician Assistant | 28650 State Highway 23, Stamford, NY 12167-1712 | 2019-08-16 |
| 1255844197 | Philease J Martin | Physician Assistant | 2001 W Main St, Stamford, CT 06902-4501 | 2017-11-14 |
| 1366999856 | Brianna Faust | Physician Assistant | 1 Hospital Plaza, Stamford Hospital - Emergency Department, Stamford, CT 06902 | 2016-09-01 |
| 1396154233 | Sarah Spring | Physician Assistant | 1 Blachley Rd, Stamford, CT 06902-0002 | 2014-08-05 |
| 1821389040 | Betty Exume | Physician Assistant | One Hospital Plaza, Stamford, CT 06904 | 2011-04-21 |
| 1205159290 | Christopher Joseph Palkimas | Physician Assistant | 945 Summer St Fl 3, Stamford, CT 06905-5557 | 2010-03-05 |
| 1255660247 | Megan Arthur Mask | Physician Assistant | 30 Buxton Farm Rd, Stamford, CT 06905-1224 | 2009-12-22 |
| 1982746707 | Kathleen Anne O'connor | Physician Assistant | 30 Shelburne Rd, Stamford, CT 06902-3628 | 2007-02-12 |
| 1649351602 | Shilpa Desai | Physician Assistant | 30 Shelburne Rd, Stamford, CT 06902-3628 | 2006-10-18 |
| 1427142058 | Albert Anthony Luongo | Physician Assistant | 32 Strawberry Hill Ct, Suite 41052, Stamford, CT 06902-2594 | 2006-10-03 |
| Find all providers in STAMFORD | ||||
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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.