SAMUEL CLARK BERNGARD (NPI# 1265708622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265708622 |
| Entity Type | Individual |
| Full Name | SAMUEL CLARK BERNGARD |
| Credential | M.D. |
| Practice Address |
4820 Riverbend Rd Ste 100 Boulder CO 80301-2618 |
| Mailing Address |
5450 Western Ave Boulder CO 80301-2709 |
| Practice Telephone | 3034155399 |
| Practice Fax Number | 3032975808 |
| Mailing Telephone | 3034155399 |
| Mailing Fax Number | 3032975808 |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2019-05-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
DR.0053721 | CO | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 90 Health Park Dr Ste 130, Louisville, CO 800279586 | 3034155399 | 3032975808 |
| 90 Health Park Dr Ste 130, Louisville, CO 800279586 | 3034422150 | 3034423363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407919103 | Samuel Jay Berngard | Dentist | 1729 E Saginaw St, Lansing, MI 48912-2324 | 2006-12-18 |
| Street Address |
4820 RIVERBEND RD STE 100 |
| City | BOULDER |
| State | CO |
| Zip Code | 80301-2618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043265663 | Timothy M Clark | Internal Medicine | 4820 Riverbend Rd Ste 100, Boulder, CO 80301-2618 | 2006-05-23 |
| 1639726078 | Boulder Community Health | Clinic/Center | 4820 Riverbend Rd Ste 100, Boulder, CO 80301-2618 | 2019-08-21 |
| 1174616130 | Hunter Russell Smith | Internal Medicine | 4820 Riverbend Rd Ste 100, Boulder, CO 80301-2618 | 2006-10-02 |
| 1538266119 | Thomas A Minor | Internal Medicine | 4820 Riverbend Rd Ste 100, Boulder, CO 80301-2618 | 2006-09-17 |
| 1073629507 | Thomas Matthew Wilcox | Internal Medicine | 4820 Riverbend Rd Ste 100, Boulder, CO 80301-2618 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031454 | Jonathan William Garson | Social Worker | 1790 30th St., Boulder, CO 80301 | 2020-10-20 |
| 1164048161 | Crossroads Medical Center | Family Medicine | 2760 29th St., Suite 28, Boulder, CO 80301 | 2020-06-25 |
| 1316585045 | Karissa Marlene Smith | Registered Nurse | 4770 Pearl Street, Suite A, Boulder, CO 80301 | 2019-12-12 |
| 1184273864 | National Doula Network | Doula | 5918 Gunbarrel Ave Apt E, Boulder, CO 80301 | 2019-09-05 |
| 1861047086 | Samuel Shay | Chiropractor | 1750 30th St, Ste 1, #226, Boulder, CO 80301 | 2019-08-05 |
| 1124504808 | Be Free Live Now LLC | Social Worker | 2945 Center Creen Court, Suite G211, Boulder, CO 80301 | 2018-07-16 |
| 1720596703 | Janis Dochterman | Counselor | 5378 Sterling Drive, Studio #3, Boulder, CO 80301 | 2018-01-12 |
| 1033628631 | Whitney Shea | Physical Therapy Assistant | 3020 Carbon Place, #330, Physical Therapy of Boulder, Boulder, CO 80301 | 2017-09-26 |
| 1538688908 | Kyle N. Daniel Dds PC | Dentist | 2830 Valmont Rd, Boulder, CO 80301 | 2017-09-16 |
| 1497205231 | Jenna Orosco | Counselor | 2945 Center Green Ct. Suite H, Suite H, Boulder, CO 80301 | 2016-10-05 |
| Find all providers in zip 80301 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972621100 | Matthew Thomas Hawkins Jr. | Internal Medicine | 4800 Baseline Rd, E104-444, Boulder, CO 80303-2699 | 2007-03-26 |
| 1174616130 | Hunter Russell Smith | Internal Medicine | 4820 Riverbend Rd Ste 100, Boulder, CO 80301-2618 | 2006-10-02 |
| 1073629507 | Thomas Matthew Wilcox | Internal Medicine | 4820 Riverbend Rd Ste 100, Boulder, CO 80301-2618 | 2006-08-21 |
| 1629088414 | Randal Dean Bjerke | Internal Medicine | 1155 Alpine Ave, Suite 150, Boulder, CO 80304-3495 | 2006-08-08 |
| 1144204850 | James R Grady | Internal Medicine | 2750 Broadway St, Boulder, CO 80304-3573 | 2005-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712155 | Poudre Valley Medical Group, LLC | Internal Medicine | 940 Central Park Dr Ste 290, Steamboat Springs, CO 80487-8853 | 2020-08-27 |
| 1235627555 | Melanie Koenigshoff | Internal Medicine | 12605 E 16th Ave Rm 9014, Aurora, CO 80045-2545 | 2018-04-23 |
| 1598005266 | Richard O'brien | Internal Medicine | 422 Idlewild Dr, Dillon, CO 80435-8335 | 2013-02-18 |
| 1417208257 | Timothy C Kennedy Md LLC | Internal Medicine | 2045 Ash St, Denver, CO 80207-3717 | 2012-09-19 |
| 1659662484 | Kent Lee Christopher | Internal Medicine | 9086 E Colorado Cir, Denver, CO 80231-2924 | 2011-04-27 |
| 1215228473 | Thomas Theodore Heacock | Internal Medicine | Uchealth Pulmonology Clinic, 2121 E Harmony Road Suite 300, Fort Collins, CO 80528-3403 | 2011-04-22 |
| 1730316464 | Peter D Sottile | Internal Medicine | 12700 E 19th Ave Rm 9023, Mail Stop C272, Aurora, CO 80045-2560 | 2009-06-20 |
| 1730377557 | Robert E. Benkert, Md PC | Internal Medicine | 9201 W 44th Ave, Unit B, Wheat Ridge, CO 80033-3084 | 2007-10-05 |
| 1487776530 | Eric Rich | Internal Medicine | 12700 E 19th Ave, Room 9c03, Aurora, CO 80045 | 2007-04-06 |
| 1326162330 | Rocky Mountain Pulmonary & Critical | Internal Medicine | 8550 W 38th Ave Ste 202, Wheat Ridge, CO 80033-4342 | 2007-03-16 |
| Find all providers with the same taxonomy | ||||
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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.