BETH A. BERGMAN (NPI# 1457461766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457461766 |
| Entity Type | Individual |
| Full Name | BETH A. BERGMAN |
| Credential | M.D. |
| Practice Address |
2901 Greenbriar Dr Springfield IL 62704-6425 |
| Mailing Address |
1025 S 6th St Springfield IL 62703-2403 |
| Practice Telephone | 2175287541 |
| Mailing Telephone | 2175287541 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2008-12-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 036-080163 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036080163 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699018846 | Beth Bergman | Veterinarian | 20 Cabot Rd, Woburn, MA 01801-1004 | 2013-04-05 |
| 1891901781 | Beth R. Bergman | Nurse Practitioner | 1300 Black Horse Pike, Glendora, NJ 08029-1308 | 2007-05-15 |
| Street Address |
2901 GREENBRIAR DR |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62704-6425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730676305 | Sharon E. Burger | Registered Nurse | 2901 Greenbriar Dr, Springfield, IL 62704-6425 | 2018-04-18 |
| 1952786311 | Aubrie Hubbert | Nurse Practitioner | 2901 Greenbriar Dr, Springfield, IL 62704-6425 | 2015-07-28 |
| 1265743140 | Abigail Maciolek Cochran | Surgery | 2901 Greenbriar Dr, Springfield, IL 62704-6425 | 2010-06-25 |
| 1497977888 | Joel Wietfeldt | Surgery | 2901 Greenbriar Dr, Springfield, IL 62704-6425 | 2007-05-03 |
| 1134229826 | Raj K. Sinha | Plastic Surgery | 2901 Greenbriar Dr, Springfield, IL 62704-6425 | 2006-09-23 |
| 1710097993 | Richard E. Brown | Plastic Surgery | 2901 Greenbriar Dr, Springfield, IL 62704-6425 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902394901 | Hillary Haaker | Occupational Therapist | 2035 W Iles, Suite C, Springfield, ID 62704 | 2018-04-25 |
| 1871095364 | Edward Doyle Slifer Sr. | Pathology | 2117 Greenside Drive, Spring Field, IL 62704 | 2018-03-01 |
| 1598263345 | Santarelli & Feller Dental Group | Dentist | 1140 Rickard Road, Suite B, Springfield, IL 62704 | 2018-01-26 |
| 1447774757 | Lisa Ann Rogers | Developmental Therapist | 2101 Lexington Dr, Apt 3, Springfield, IL 62704 | 2017-07-28 |
| 1730611286 | Mindi Rowe | Occupational Therapist | 2508 County Rd 4 1/2 E, Springfield, IL 62704 | 2017-04-03 |
| 1366992208 | Jayme Jordan | Contractor | 2409 Westchester Blvd, Springfield, IL 62704 | 2016-10-04 |
| 1154793974 | Dina Payne | Social Worker | 917 Clocktower Drive, Suite 600, Springfield, IL 62704 | 2015-10-21 |
| 1770959819 | James R Reynolds | Hearing Instrument Specialist | 2347 W Monroe St, Springfield, IL 62704 | 2015-08-12 |
| 1336576495 | Emily Jane Dungey | Counselor | 920 S Spring St Ste 1300, Springfield, IL 62704 | 2013-10-03 |
| 1942552161 | Jeannie Marie Hundley | Specialist/Technologist, Other | 2921 Monvale Drive, Springfield, IL 62704 | 2012-10-11 |
| Find all providers in zip 62704 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881119378 | Taylor Jan Berube | Plastic Surgery | 300 Stafford St Ste 256, Springfield, MA 01104-3513 | 2017-08-07 |
| 1568750552 | Raghu Nandan | Plastic Surgery | 1229 E Seminole St Ste 330, Springfield, MO 65804-2227 | 2011-07-12 |
| 1417240953 | Collier Stephens Pace | Plastic Surgery | Memorial Medical Center 701 N 1st St, Springfield, IL 62781-5051 | 2011-05-17 |
| 1346551199 | Aparajit Naram | Plastic Surgery | 2 Medical Center Dr Ste 206, Springfield, MA 01107-1272 | 2010-06-27 |
| 1508182296 | Jonathan Y Lee | Plastic Surgery | 2 Medical Center Dr Ste 309, Springfield, MA 01107-1271 | 2010-04-20 |
| 1326259847 | Phillip A Stone Md, PC | Plastic Surgery | 57 Mulberry St, Springfield, MA 01105-1406 | 2007-05-25 |
| 1093734113 | Charles A Loguda | Plastic Surgery | 955 S Springfield Ave, Suite 105 Bldg. A, Springfield, NJ 07081-3570 | 2006-07-19 |
| 1821066192 | Reuben A Bueno Jr. | Plastic Surgery | 747 N Rutledge St Fl 3, Springfield, IL 62702-6700 | 2006-03-10 |
| 1124019807 | Thomas Paul Rak | Plastic Surgery | 415 E Home Rd, Springfield, OH 45503-2708 | 2005-11-02 |
| 1376151258 | Lauren Woldanski | Plastic Surgery | 747 N Rutledge St, Springfield, IL 62702-6700 | 2020-07-16 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62704 |
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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.