DR. BROOKE NICOLE BERGMANN (NPI# 1922263243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922263243 |
| Entity Type | Individual |
| Full Name | DR. BROOKE NICOLE BERGMANN |
| Credential | PHARM.D. |
| Practice Address |
551 National Health Care Dr Daytona Beach FL 32114 |
| Mailing Address |
551 National Health Care Dr Daytona Beach FL 32114-1495 |
| Practice Telephone | 3863237500 |
| Practice Fax Number | 3863237503 |
| Mailing Telephone | 3863237500 |
| Mailing Fax Number | 3863237503 |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2018-07-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
CACP #:0830-OLC- | FL | Pharmacy Service Providers |
| N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
PS43663 | FL | Pharmacy Service Providers |
| Y | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
6151414 | FL | Pharmacy Service Providers |
| Street Address |
551 NATIONAL HEALTH CARE DR |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154318483 | John S Zwirz | Pharmacist | 551 National Health Care Dr, Daytona Beach, FL 32114-1495 | 2005-10-03 |
| 1134720428 | Enereida Ramos Rodriguez | Social Worker | 551 National Health Care Dr, Daytona Beach, FL 32114-1495 | 2020-11-04 |
| 1457965477 | Amie Thu Nguyen | Optometrist | 551 National Health Care Dr, Daytona Beach, FL 32114-1495 | 2020-09-08 |
| 1548884448 | Jessica Maya Doyle | Optometrist | 551 National Health Care Dr, Daytona Beach, FL 32114-1495 | 2020-06-05 |
| 1770122921 | Rosa A Arndt | Registered Nurse | 551 National Health Care Dr, Daytona Beach, FL 32114-1495 | 2020-01-04 |
| 1487213211 | Alely Hostia | Optometrist | 551 National Health Care Dr, Daytona Beach, FL 32114-1495 | 2019-06-05 |
| 1780145482 | Jeffrey Kyle Wells | Student in an Organized Health Care Education/Training Program | 551 National Health Care Dr, Daytona Beach, FL 32114-1495 | 2019-03-26 |
| 1689141889 | Kiri J Rutledge | Optometrist | 551 National Health Care Dr, Daytona Beach, FL 32114-1495 | 2018-10-26 |
| 1497222772 | Madeline Coughlin | Optometrist | 551 National Health Care Dr, Daytona Beach, FL 32114-1495 | 2018-10-25 |
| 1013484260 | Shanelle Jenkins | Optometrist | 551 National Health Care Dr, Daytona Beach, FL 32114-1495 | 2018-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376161380 | Evolution Health & Performance LLC | Physician Assistant | 244 S. Palmetto Ave, Daytona Beach, FL 32114 | 2020-07-07 |
| 1407480189 | Kierra Imani Kinsey | Behavior Technician | 1128-a Beville Rd, Daytona Beach, FL 32114 | 2020-03-02 |
| 1043776057 | Outreach Community Care Network Inc | Pharmacy | 240 N. Frederick Avenue, Daytona Beach, FL 32114 | 2019-02-14 |
| 1033681861 | Katherine Proppe | Specialist/Technologist | 1 Aerospace Blvd, Daytona Beach, FL 32114 | 2018-12-18 |
| 1841765047 | Anna L Smith | Nurse Practitioner | 339 Bill France Blvd Ste C, Daytona Beach, FL 32114 | 2018-10-04 |
| 1154806933 | Steve Anthony Lee | Family Medicine | 731 N. Clyde Morris Blvd, Daytona Beach, FL 32114 | 2018-09-27 |
| 1285116491 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1348 W International Speedway Blvd Ste 2, Daytona Beach, FL 32114 | 2018-09-04 |
| 1770085656 | Merina Lee | Occupational Therapist | 1159 Australia Ave., Daytona Beach, FL 32114 | 2018-03-06 |
| 1346752755 | Hand & Upper Extremity Surgery of Daytona Beach, LLC | Non-Pharmacy Dispensing Site | 1241 Ridgewood Ave, Daytona Beach, FL 32114 | 2017-10-26 |
| 1104347053 | Harry Herman Blanke IIi | Family Medicine | 201 N Clyde Morris Blvd, Suite 200, Halifax Health Family Medicine Residency Program, Daytona Beach, FL 32114 | 2017-06-30 |
| Find all providers in zip 32114 | ||||
| Taxonomy Code | 1835P2201X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Ambulatory Care |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community. |
| Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [7/1/2015: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689209587 | Tonia Michelle Murray | Pharmacist | 7820 111th Ter E, Parrish, FL 34219-2830 | 2020-03-11 |
| 1447814785 | Julie Marie Pippins | Pharmacist | 806 Ocean Front, Neptune Beach, FL 32266-6057 | 2019-04-23 |
| 1326518986 | Donald George Williams Jr. | Pharmacist | 5500 Military Trail, Jupiter, FL 33458 | 2018-11-27 |
| 1255809943 | Sarah Powers | Pharmacist | 3804 65th Ave E, Sarasota, FL 34243-7923 | 2018-11-12 |
| 1124595061 | Stefan Correa | Pharmacist | 9498 S.orange Blossom Trl, Orlando, FL 32837-8326 | 2018-10-29 |
| 1811475130 | Kwame Kyerematen-afrani | Pharmacist | 6266 S Congress Ave Ste L12, Lantana, FL 33462-2365 | 2018-07-30 |
| 1548773906 | Leslie Alteri | Pharmacist | 1973 Wild Lime Dr, Sanibel, FL 33957-2403 | 2017-11-08 |
| 1093254708 | Toni Elkach | Pharmacist | 13124 Winfield Scott Blvd, Orlando, FL 32837-4007 | 2017-02-14 |
| 1619329810 | Curtis Hearn | Pharmacist | 2113 W Lakeview Blvd, N Fort Myers, FL 33903-5813 | 2016-07-12 |
| 1629437165 | Shameik Brooks | Pharmacist | 655 W 8th St # C-89, Jacksonville, FL 32209-6511 | 2016-02-11 |
| Find all providers with the same taxonomy | ||||
| City | DAYTONA BEACH |
| Zip Code | 32114 |
Please comment or provide details below to improve the information on DR. BROOKE NICOLE BERGMANN.
| 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.