JOAN L BERGSTROM, MD PA (NPI# 1164647434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164647434 |
| Entity Type | Organization |
| Organization Name | JOAN L BERGSTROM, MD PA |
| Practice Address |
1001 N Waldrop Dr Suite 505 Arlington TX 76012-4705 |
| Practice Telephone | 8172779415 |
| Practice Fax Number | 8172770360 |
| Mailing Telephone | 8172779415 |
| Mailing Fax Number | 8172770360 |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2016-02-22 |
| Authorized Official Name | DR. JOAN L BERGSTROM (CEO) |
| Authorized Official Telephone | 8172779415 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
L0505 | TX | Ambulatory Health Care Facilities |
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
G8579 | TX | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | DR. PEPPLERS NPI | 1245214550 | 01 |
| TX | DR. BERGSTROMS NPI | 1396727814 | 01 |
| Street Address |
1001 N WALDROP DR SUITE 505 |
| City | ARLINGTON |
| State | TX |
| Zip Code | 76012-4705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841295425 | Cross Timbers Surgery Center | Clinic/Center | 1001 N Waldrop Dr, Ste 705, Arlington, TX 76012-4704 | 2005-06-20 |
| 1538616834 | U S Anesthesia Partners of Texas, Pa | Anesthesiology | 1001 N Waldrop Dr, Vandergriff Building Suite 403, Arlington, TX 76012 | 2016-09-02 |
| 1255762126 | Aubrey Faught | Physician Assistant | 1001 N Waldrop Dr, Suite 403, Arlington, TX 76012-4705 | 2013-12-03 |
| 1780954974 | Allison Megan Kitchens | Nurse Practitioner | 1001 N Waldrop Dr, 509, Arlington, TX 76012-4705 | 2012-01-05 |
| 1750610440 | F. Jon Senkowsky, M.d., P.a. | Surgery | 1001 N Waldrop Dr, Suite 612, Arlington, TX 76012-4705 | 2009-12-09 |
| 1518197045 | Bianco Brain & Spine, LLC | Neurological Surgery | 1001 N Waldrop Dr, Suite 403, Arlington, TX 76012-4705 | 2009-07-17 |
| 1891924767 | John Naus M.d., P.a. | Psychiatry & Neurology | 1001 N Waldrop Dr, Suite 601, Arlington, TX 76012-4705 | 2009-07-13 |
| 1881848224 | Sareena Lani Gahunia | Pediatrics | 1001 N Waldrop Dr, Suite 404, Arlington, TX 76012-4705 | 2008-11-12 |
| 1902059199 | D R Rockwell,crna,pc | Anesthesiology | 1001 N Waldrop Dr, #701, Arlington, TX 76012 | 2008-10-31 |
| 1164681102 | Kiran K Nangrani | Obstetrics & Gynecology | 1001 N Waldrop Dr, Suite 505, Arlington, TX 76012-4705 | 2008-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366073736 | Britney Beard | Counselor | 715 N Fielder Rd Ste A, Arlington, TX 76012 | 2020-02-04 |
| 1932762531 | Devin Austin Deloe | Speech-Language Pathologist | Arlington Villas, 2601 W Randol Mill Rd., Arlington, TX 76012 | 2019-04-18 |
| 1275000135 | Soh of Texas Samson Liu Pllc | Dentist | 1625 Pecan Dr, Arlington, TX 76012 | 2018-10-30 |
| 1295200749 | Eness, Inc. | In Home Supportive Care | 1321 West Randol Mill Road, #108, Arlington, TX 76012 | 2018-10-11 |
| 1073967626 | Maya Alex Kuriakose | Obstetrics & Gynecology | 1001 N. Waldrop, Suite 505, Arlington, TX 76012 | 2016-04-20 |
| 1710359971 | Amir Izaddoust | Dentist | 723 N. Fielder Rd, Suite E, Dallas, TX 76012 | 2015-10-28 |
| 1639553738 | Alicia Rider | Specialist/Technologist | 1507 Cherokee Szt, Arlington, TX 76012 | 2015-07-17 |
| 1508274614 | Neurodiagnostic Consultants, L.L.C. | Specialist | 1102 Orchard Drive, Arlington, TX 76012 | 2014-08-01 |
| 1578974663 | Lan Ngoc Nguyen, Pharm.d.,,llc | Pharmacy | 1102 Orchard Dr., Suite B, Arlington, TX 76012 | 2014-05-12 |
| 1871854471 | Takeisha Jones | Occupational Therapy Assistant | 532 Claire Ct, Arlington, TX 76012 | 2012-05-31 |
| Find all providers in zip 76012 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316468085 | Genesis Mobile X-ray, LLC | Clinic/Center | 110 W Randol Mill Rd Ste 228, Arlington, TX 76011-4611 | 2017-07-03 |
| 1396949210 | Paallp | Clinic/Center | 907 Medical Centre Dr Ste B, Arlington, TX 76012-4756 | 2007-06-13 |
| 1538164017 | Accent Family Health Care LLC | Clinic/Center | 1635 W Division St, Arlington, TX 76012-3810 | 2005-06-20 |
| 1568015469 | Community Birth Group | Clinic/Center | 6136 9th Rd N, Arlington, VA 22205-1610 | 2019-07-19 |
| 1780151498 | Southwind Services LLC | Clinic/Center | 1015 W Randol Mill Rd, Arlington, TX 76012-2513 | 2018-10-31 |
| 1881169902 | Open Arms Healthcare of Texas Inc. | Clinic/Center | 2440 S Collins St, Arlington, TX 76014-1239 | 2018-10-04 |
| 1568901288 | Edeneyecare LLC | Clinic/Center | 4018 Campbell Ave, Arlington, VA 22206-3424 | 2017-02-14 |
| 1235675885 | Mri Centers of Texas LLC-arlington Series | Clinic/Center | 1015 W Randol Mill Rd, Arlington, TX 76012-2513 | 2017-01-06 |
| 1770962599 | Apn | Clinic/Center | 800 W Arbrook Blvd, Ste 300, Arlington, TX 76015-4333 | 2015-05-26 |
| 1922485960 | Dfw Tm Management Group Inc. | Clinic/Center | 2361 S Collins St, Arlington, TX 76014-1224 | 2015-04-29 |
| Find all providers in ARLINGTON | ||||
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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.