DR. SCOTT BERGMAN (NPI# 1437235314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437235314 |
| Entity Type | Individual |
| Full Name | DR. SCOTT BERGMAN |
| Credential | PHARM.D. |
| Practice Address |
701 N 1st St # 19636 Siu Infectious Diseases Springfield IL 62702-3757 |
| Mailing Address |
1804 Providence Ln Springfield IL 62711 |
| Practice Telephone | 2175454040 |
| Practice Fax Number | 2175458025 |
| Mailing Telephone | 2177265977 |
| Mailing Fax Number | 2177265977 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
IL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477500809 | Scott Bergman | Psychologist | 387 N Ridge St, Rye Brook, NY 10573-1103 | 2006-05-30 |
| 1245510841 | Scott Bergman | Pharmacist | 6020 Kalamazoo Ave Se, Kentwood, MI 49508-7018 | 2011-08-26 |
| 1669590535 | Scott L. Bergman | Chiropractor | 1399 Ygnacio Valley Rd, Suite #31, Walnut Creek, CA 94598-2884 | 2007-03-27 |
| Street Address |
701 N 1ST ST # 19636 SIU INFECTIOUS DISEASES |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62702-3757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457866519 | Mohammad Jamal Uddin Ansari | Internal Medicine | 751 N Rutledge St Ste 400, Springfield, IL 62702 | 2017-12-11 |
| 1588105811 | Mickey Graphia | Surgery | 701 N 1st St # D346, Springfield, IL 62702 | 2017-03-20 |
| 1376908913 | Abdul Hannan | Internal Medicine | 315 W Carpenter St # B, Springfield, IL 62702 | 2015-12-28 |
| 1871986414 | Rachel Hoselton | Nurse Practitioner | 400 N 9th St Fl 4, Springfield, IL 62702 | 2015-03-06 |
| 1548697774 | Alyssa Wilson | Behavioral Analyst | 232 Bruns Lane, One Sparcenter Plaza, Springfield, IL 62702 | 2013-10-02 |
| 1174965446 | Amy Wilson | Speech-Language Pathologist | 2120 West Washington Street, Springfield, IL 62702 | 2013-07-26 |
| 1275898116 | Pele Boutrous Dina | Pediatrics | 415 N 9th St # 4w16, Springfield, IL 62702 | 2012-07-06 |
| 1427327733 | Brook D Croke | Genetic Counselor, MS | 400 N. 9th Street, 3rd Floor Clinic B, Springfield, IL 62702 | 2011-12-16 |
| 1629352604 | Renae M Sanchez | Pharmacist | 3216 East Clearlake Ave, Springfield, IL 62702 | 2011-10-07 |
| 1982915302 | William Leland Zelkovich | Radiology | 701 N 1st, Springfield, IL 62702 | 2010-06-30 |
| Find all providers in zip 62702 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609150564 | Steve C Platou | Pharmacist | 2159 S. Campbell Ave, Springfield, MO 65807 | 2011-10-10 |
| 1295018422 | Gregory James Serocki | Pharmacist | 3189 S Woodstock Ave, Springfield, MO 65809-4146 | 2011-09-23 |
| 1306995378 | Chad Michael Graue | Pharmacist | 7409 Piper Glen Dr, Springfield, IL 62711-7092 | 2007-01-09 |
| 1083695811 | John Mark Ruscin | Pharmacist | 701 N. First Street, Springfield, IL 62794-9636 | 2005-11-09 |
| 1104427624 | Lee Owen Cunningham | Pharmacist | 323 E Grand St, Springfield, MO 65807-1447 | 2020-11-02 |
| 1093316515 | Susan B Nutter | Pharmacist | 1300 E Bradford Pkwy, Springfield, MO 65804-4264 | 2020-11-02 |
| 1740802263 | Linda Pien | Pharmacist | 6501 Loisdale Ct, Springfield, VA 22150-1826 | 2020-05-07 |
| 1700423910 | Jennifer Marie Anna Smola | Pharmacist | 3300 Main St Ste 2a, Springfield, MA 01199-1002 | 2019-12-06 |
| 1922546001 | Terri Cook | Pharmacist | 2730 Gateway St, Springfield, OR 97477 | 2017-02-08 |
| 1225400799 | Charles Trebilcock | Pharmacist | 1300 E Bradford Pkwy, Springfield, MO 65804-4264 | 2015-10-23 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62702 |
Please comment or provide details below to improve the information on DR. SCOTT BERGMAN.
| 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.