CHARLES ANDREW BERGMAN JR. (NPI# 1962468306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962468306 |
| Entity Type | Individual |
| Full Name | CHARLES ANDREW BERGMAN JR. |
| Credential | M.D. |
| Practice Address |
1040 Park Ave Ste 200 Baltimore MD 21201-5634 |
| Practice Telephone | 4437380300 |
| Mailing Telephone | 4437380300 |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2019-06-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | D32816 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 207891100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922462399 | Charles Mac Bergman | Student in an Organized Health Care Education/Training Program | 525 E 68th St, Box 225, New York, NY 10065-4870 | 2016-04-11 |
| Street Address |
1040 PARK AVE STE 200 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21201-5634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659340230 | Thomas L Edmondson | Internal Medicine | 1040 Park Ave Ste 200, Baltimore, MD 21201-5634 | 2006-03-16 |
| 1215577762 | Absolutecare of Baltimore, LLC | Family Medicine | 1040 Park Ave Ste 200, Baltimore, MD 21201-5634 | 2020-01-13 |
| 1558889253 | Joshua Liu | Physician Assistant | 1040 Park Ave Ste 200, Baltimore, MD 21201-5634 | 2017-09-01 |
| 1275050759 | Nimita Sharma | Pharmacist | 1040 Park Ave Ste 200, Baltimore, MD 21201-5634 | 2017-08-25 |
| 1851817431 | Baltimore Medical System Inc | Clinic/Center | 1040 Park Ave Ste 200, Baltimore, MD 21201-5634 | 2017-08-16 |
| 1710426069 | Katherine Pretl | Registered Nurse | 1040 Park Ave Ste 200, Baltimore, MD 21201-5634 | 2017-02-20 |
| 1619415502 | Ella Histand | Registered Nurse | 1040 Park Ave Ste 200, Baltimore, MD 21201-5634 | 2017-02-10 |
| 1295197176 | Elizabeth Brolund | Social Worker | 1040 Park Ave Ste 200, Baltimore, MD 21201-5634 | 2016-03-22 |
| 1528431020 | Mary Kathleen Haber | Registered Nurse | 1040 Park Ave Ste 200, Baltimore, MD 21201-5634 | 2015-11-05 |
| 1386022721 | Kelli Mccallum | Nurse Practitioner | 1040 Park Ave Ste 200, Baltimore, MD 21201-5634 | 2015-05-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585470 | Meshref Ayed Alshehri | Student in an Organized Health Care Education/Training Program | 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-07-08 |
| 1306462411 | Michael Julian Wong | Student in an Organized Health Care Education/Training Program | University of Maryland, Department of Anesthesiology, 22 S Green St, S11b, Baltimore, MD 21201 | 2020-06-24 |
| 1740817733 | Martha Kaitlyn Coghlan | Student in an Organized Health Care Education/Training Program | Ummc Ob/gyn, 22 S. Greene St., Baltimore, MD 21201 | 2020-03-27 |
| 1629606637 | Taylor Renee Kai | Student in an Organized Health Care Education/Training Program | University of Maryland, 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-03-27 |
| 1295362697 | Brittany A Oster | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street 6th Floor, Suite 300, Baltimore, MD 21201 | 2020-03-25 |
| 1346877735 | Kayvon Michael Mobarakeh | Student in an Organized Health Care Education/Training Program | University of Maryland Department of Anesthesiology, 22 S Greene St, S11c, Baltimore, MD 21201 | 2020-03-25 |
| 1598392284 | Zachary Allan Hagen | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, 6th Flr., Suite 200, Baltimore, MD 21201 | 2020-03-24 |
| 1700430055 | Jaime Semchuk | Student in an Organized Health Care Education/Training Program | 737 West Lombard, Baltimore, MD 21201 | 2019-07-25 |
| 1952861619 | Zachary Daniel Sanford | Student in an Organized Health Care Education/Training Program | 22 S Greene Street S8b12, Baltimore, MD 21201 | 2019-03-20 |
| 1114487840 | Spencer Sykes Lovegrove | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, Sixth Floor, Suite 200, Baltimore, Sixth Floor, Suite 200, Baltimore, MD 21201 | 2019-03-20 |
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| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023471893 | Portia Irene Chipendo | Emergency Medicine | 1830 E Monument St Ste 6, Baltimore, MD 21287-0020 | 2016-03-30 |
| 1780062695 | Michael Gorynski | Emergency Medicine | 4940 Eastern Ave Fl 1s, Baltimore, MD 21224-2735 | 2015-05-12 |
| 1922494392 | Michael Robbins | Emergency Medicine | 1303 Union Ave, Baltimore, MD 21211-1904 | 2015-04-12 |
| 1508284092 | Diana Ladkany | Emergency Medicine | 3001 S Hanover St., Department of Emergency Medicine, Baltimore, MD 21225 | 2014-04-01 |
| 1780001883 | Michael Weldon Diana | Emergency Medicine | The Johns Hopkins Hospital Department Of, 1800 Orleans Street, Baltimore, MD 21287 | 2014-03-26 |
| 1083031330 | Rittik Chaudhuri | Emergency Medicine | 5801 Smith Ave Ste 220, Baltimore, MD 21209-3607 | 2014-03-25 |
| 1780025700 | Nicholas Pereira Risko | Emergency Medicine | 6 S Collington Ave, Baltimore, MD 21231-2011 | 2013-07-08 |
| 1871852962 | Maryland Emergency Medicine Network Physicians, LLC | Emergency Medicine | 323 W Camden St, Baltimore, MD 21201 | 2012-05-09 |
| 1760758254 | Casey Lee Wilson | Emergency Medicine | Jhh 1830 E Monument St, 6-100, Baltimore, MD 21287-0001 | 2012-03-28 |
| 1295027837 | Anastasia Grivoyannis | Emergency Medicine | 1800 Orleans St Ste 6321, Baltimore, MD 21287-0010 | 2011-05-13 |
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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.