ERIC BERGMAN (NPI# 1891917381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891917381 |
| Entity Type | Individual |
| Full Name | ERIC BERGMAN |
| Credential | MPAS08-AMC |
| Practice Address |
20 York St, Cb-2041 New Haven CT 06510-3220 |
| Mailing Address |
20 York Street Cb-2041 New Haven CT 06510 |
| Practice Telephone | 2036884748 |
| Practice Fax Number | 2036884741 |
| Mailing Telephone | 2036884748 |
| Mailing Fax Number | 2036884740 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2015-04-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208M00000X | Hospitalist | 002113 | CT | Allopathic & Osteopathic Physicians |
| N | 363A00000X | Physician Assistant | 002113 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
002113 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | LICENSE | 002113 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730210345 | Eric Charles Bergman | Psychiatry & Neurology | 1616 18th St Nw, Suite 103, Washington, DC 20009-2530 | 2007-03-07 |
| 1720040033 | Eric D. Bergman | Nurse Anesthetist, Certified Registered | 800 Washington St, Boston, MA 02111-1552 | 2006-04-03 |
| Street Address |
20 YORK ST, CB-2041 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06510-3220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881650364 | Ryan J Donovan | Physician Assistant | 20 York St, Cb-2041, New Haven, CT 06510-3220 | 2006-04-25 |
| 1639633944 | Lauren Culy | Physician Assistant | 20 York St, Cb-2041, New Haven, CT 06510-3220 | 2019-01-31 |
| 1538636154 | Rachel Kurecka | Physician Assistant | 20 York St, Cb-2041, New Haven, CT 06510-3220 | 2018-11-01 |
| 1942783733 | Julia C. Gotthardt | Internal Medicine | 20 York St, Cb-2041, New Haven, CT 06510-3220 | 2018-09-08 |
| 1932551546 | Hannah Michelle Brady | Physician Assistant | 20 York St, Cb-2041, New Haven, CT 06510-3220 | 2016-07-07 |
| 1609244060 | Erika Lynn Baranowski | Physician Assistant | 20 York St, Cb-2041, New Haven, CT 06510-3220 | 2015-09-02 |
| 1043699135 | Hannah Glenn Rosenblum | Internal Medicine | 20 York St, Cb-2041, Yale-new Haven Hospital, New Haven, CT 06510-3220 | 2015-05-22 |
| 1861801623 | Stacey Larosa | Nurse Practitioner | 20 York St, Cb-2041, New Haven, CT 06510-3220 | 2014-08-06 |
| 1336557305 | Sarah Palleschi | Physician Assistant | 20 York St, Cb-2041, Cb-2041, New Haven, CT 06510-3220 | 2014-07-23 |
| 1073927737 | Marc Daniel Musco | Physician Assistant | 20 York St, Cb-2041, New Haven, CT 06510-3220 | 2014-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336757319 | Matthew Peter O'connell | Pharmacist | 55 Park Street, Lower Level, Department of Pharmacy, New Haven, CT 06510 | 2020-07-16 |
| 1477171460 | Huy Henry Le | Pharmacist | 20 York Street, Ps-ll, New Haven, CT 06510 | 2020-07-07 |
| 1144855263 | Daniel Jacobs | Student in an Organized Health Care Education/Training Program | 367 Cedar Street, Bldg. D, Student Affairs Office, New Haven, CT 06510 | 2020-03-09 |
| 1346898467 | Cem Cengiz | Internal Medicine | Tobb Etu Hastanesi, Yasam Cad. No.5 Sogutozu, Ankara, TURKEY 06510 | 2019-09-02 |
| 1295292290 | Emily Elizabeth Samuel | Counselor | 40 Temple Street, Ste 7c, Yale Child Outpatient Clinic, New Haven, CT 06510 | 2019-02-26 |
| 1639652779 | Laura Goldblum | Social Worker | 1450 Chapel Childrens Hospital, 1450 Chapel Street, New Haven, CT 06510 | 2018-09-14 |
| 1477049138 | Joseph Lawrence Earles | Otolaryngology | Yale Physicians Building, 800 Howard Ave., 4th Floor, New Haven, CT 06510 | 2018-07-06 |
| 1508356759 | Rebecca Anne Beagan | Student in an Organized Health Care Education/Training Program | 20 York Street- Pediatrics, New Haven, CT 06510 | 2018-05-14 |
| 1104316405 | Emma Sophie Taylor-salmon | Student in an Organized Health Care Education/Training Program | 20 York Street - Pediatrics, New Haven, CT 06510 | 2018-05-14 |
| 1376033563 | Wael S Ibrahim | Student in an Organized Health Care Education/Training Program | 20 York Street, Ynnh - Tompkins 226, New Haven, CT 06510 | 2018-05-14 |
| Find all providers in zip 06510 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790319655 | Erin Kelly Flynn | Physician Assistant | 464 Congress Ave # Suie260, New Haven, CT 06519-1361 | 2020-02-28 |
| 1659919702 | Jeniece Kayla Wert | Physician Assistant | 100 Church Street South, Suite A230 Room A235, New Haven, CT 06519-1703 | 2019-12-18 |
| 1588121354 | Jason Michael Nies | Physician Assistant | 20 York St # 218, New Haven, CT 06510-3220 | 2019-02-27 |
| 1902334436 | Lauren Veronica Boggs | Physician Assistant | 45 Ley St, New Haven, CT 06512-3921 | 2017-05-29 |
| 1831353853 | Dina Weiner | Physician Assistant | 840 Howard Ave Fl 1, New Haven, CT 06519-1106 | 2008-07-18 |
| 1528244027 | Gerald Kayingo | Physician Assistant | 211 Fountain St, Apt 12, New Haven, CT 06515-1979 | 2008-01-14 |
| 1821219783 | Susanne Atkins | Physician Assistant | 175 Sherman Avenue, New Haven, CT 06511 | 2007-05-01 |
| 1023133626 | John Sceppa | Physician Assistant | Yale -new Haven Hospital, 20 York St., New Haven, CT 06510-3202 | 2007-03-20 |
| 1922147578 | Janice Decho | Physician Assistant | 20 York St Cb- 2041, New Haven, CT 06504-8900 | 2007-02-06 |
| 1578613964 | Brian Patrick Munday | Physician Assistant | 800 Howard Ave Lower Level, Comprehensive Epilepsy Center LLCi 716, New Haven, CT 06520-8018 | 2007-01-10 |
| Find all providers in NEW HAVEN | ||||
Please comment or provide details below to improve the information on ERIC 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.