Kenneth Bergman Jr. (NPI# 1659349447, PAC ID# 1254430630) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1659349447 |
| PAC ID by PECOS | 1254430630 |
| Professional Enrollment ID | I20070626000440 |
| Full Name | Kenneth Bergman Jr. |
| Organization Legal Name | LOUDOUN MEDICAL GROUP PC |
| Address |
14535 John Marshall Hwy 212 Gainesville VA 20155-4025 |
| Phone Number | 7032632333 |
| Gender | M |
| Credential | MD |
| Medical School | GEORGETOWN UNIVERSITY OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 0042119661 |
| Number of Group Practice Members | 211 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 5249 Duke St, Suite 100, Alexandria, VA 22304-2907 | 7033702814 | LOUDOUN MEDICAL GROUP PC |
| 13890 Braddock Rd, Suite 206, Centreville, VA 20121-2437 | 7032632333 | LOUDOUN MEDICAL GROUP PC |
| 14535 John Marshall Hwy 212, Gainesville, VA 20155-4025 | 7032632333 | LOUDOUN MEDICAL GROUP PC |
| 1860 Town Ctr Dr, Reston, VA 20190-5905 | LOUDOUN MEDICAL GROUP PC |
| Organization Legal Name | LOUDOUN MEDICAL GROUP PC |
| Physicians | 235 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah E Cunningham | Nurse Practitioner | Loudoun Medical Group PC | 46165 Westlake Dr, 120 Potomac Family Practice, Sterling, VA 20165-5872 |
| Nazaneen Nassiry | Nurse Practitioner | Loudoun Medical Group PC | 21135 Whitefield Place, 107 Sterling Family Practice, Sterling, VA 20165-7279 |
| Clorissa Fischetti | Nurse Practitioner | Loudoun Medical Group PC | 46440 Benedict Dr, Suite 107, Sterling, VA 20164-6602 |
| Kenneth R Bergman | Allergy/immunology | Loudoun Medical Group PC | 13890 Braddock Rd, Suite 206, Centreville, VA 20121-2437 |
| Chi George Zhao | Sleep Medicine | Loudoun Medical Group PC | 14141 Robert Paris Ct, Chantilly, VA 20151-4201 |
| Kathleen M Pelkofski | Nurse Practitioner | Loudoun Medical Group PC | 921 E Main St, 2d, Purcellville, VA 20132-3133 |
| Scott J Hopson | Physical Therapy | Loudoun Medical Group PC | 205 Hirst Rd, Purcellville, VA 20132-6602 |
| Nauman J Akhtar | Orthopedic Surgery | Loudoun Medical Group PC | 224 D Cornwall St Nw, Suite 204, Leesburg, VA 20176-2701 |
| George Kevin Gillian | General Surgery | Loudoun Medical Group PC | 8988 Lorton Station Blvd, Suite 202, Lorton, VA 22079-4758 |
| Russell B Pearlman | Optometry | Loudoun Medical Group PC | 205 E Hirst Rd, 302 Loudoun Pediatric Associates, Purcellville, VA 20132-6198 |
| Street Address |
14535 JOHN MARSHALL HWY 212 |
| City | GAINESVILLE |
| State | VA |
| Zip | 20155-4025 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristine L Maggs | Chiropractic | Arlington Neck and Back Center PC | 7400 Heritage Village Plaza, Suite 101, Gainesville, VA 20155 |
| Steven J Tang | Family Medicine | Nmg Affiliate Practice I, LLC | 14540 John Marshall Hwy, Suite 104, Gainesville, VA 20155-1693 |
| Stephane Provencher | Chiropractic | 7528 Old Linton Hall Rd, Gainesville, VA 20155-1731 | |
| Khurram N Ali | Family Medicine | Patient First Richmond Medical Group Pllc | 14800 Lee Hwy, Gainesville, VA 20155-1842 |
| Elizabeth H Sibert | Physician Assistant | Patient First Richmond Medical Group Pllc | 14800 Lee Hwy, Gainesville, VA 20155-1842 |
| Antonette F Brown | Emergency Medicine | Patient First Richmond Medical Group Pllc | 14800 Lee Hwy, Gainesville, VA 20155-1842 |
| Ludmila M Kissi | Internal Medicine | Patient First Richmond Medical Group Pllc | 14800 Lee Hwy, Gainesville, VA 20155-1842 |
| Patrick P Mccarty | Preventative Medicine | Patient First Richmond Medical Group Pllc | 14800 Lee Hwy, Gainesville, VA 20155-1842 |
| Tobey L Balazs | Nurse Practitioner | Patient First Richmond Medical Group Pllc | 14800 Lee Hwy, Gainesville, VA 20155-1842 |
| Rebecca Stone | Nurse Practitioner | Minuteclinic Diagnostic of Virginia LLC | 14380 Mcgraws Corner Dr, Gainesville, VA 20155-1866 |
| Find all physicians in zip 20155 | |||
| City | GAINESVILLE |
| Zip Code | 20155 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | GAINESVILLE + OTOLARYNGOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.