Jason B Bergman (NPI# 1326056722, PAC ID# 1456358050) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1326056722 |
| PAC ID by PECOS | 1456358050 |
| Professional Enrollment ID | I20061024000308 |
| Full Name | Jason B Bergman |
| Organization Legal Name | INDEPENDENCE REGIONAL MEDICAL GROUP LLC |
| Address |
300 N Osage St Suite 200 Independence MO 64050-2705 |
| Phone Number | 8163562000 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0345216412 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260095 | CENTERPOINT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 300 N Osage St, Suite 200, Independence, MO 64050-2705 | 8163562000 | INDEPENDENCE REGIONAL MEDICAL GROUP LLC |
| Organization Legal Name | INDEPENDENCE REGIONAL MEDICAL GROUP LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Greg L Testerman | Nurse Practitioner | Independence Regional Medical Group LLC | 1520 E 23rd St, Suite 1, Independence, MO 64055-1600 |
| Allison L Medlin | Family Medicine | Independence Regional Medical Group LLC | 300 N Osage St, Suite 200, Independence, MO 64050-2705 |
| Karen Meenan | Nurse Practitioner | Independence Regional Medical Group LLC | 1520 E 23rd St, Suite 1, Independence, MO 64055-1600 |
| Lori A Taula | Nurse Practitioner | Independence Regional Medical Group LLC | 300 N Osage St, Suite 200, Independence, MO 64050-2705 |
| Street Address |
300 N OSAGE ST SUITE 200 |
| City | INDEPENDENCE |
| State | MO |
| Zip | 64050-2705 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allison L Medlin | Family Medicine | Independence Regional Medical Group LLC | 300 N Osage St, Suite 200, Independence, MO 64050-2705 |
| Lori A Taula | Nurse Practitioner | Independence Regional Medical Group LLC | 300 N Osage St, Suite 200, Independence, MO 64050-2705 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan Mwirigi Gunn | Nurse Practitioner | Swope Health Services | 11320 E Truman Rd, Independence, MO 64050-2564 |
| Heidi A Heiman | Nurse Practitioner | Swope Health Services | 11320 E Truman Rd, Independence, MO 64050-2564 |
| Christopher S Jozwick | Nurse Practitioner | Swope Health Services | 11320 E Truman Rd, Independence, MO 64050-2564 |
| Naiomi Jamal | Family Medicine | Swope Health Services | 11320 E Truman Rd, Independence, MO 64050-2564 |
| Aimee E Miller | Nurse Practitioner | Swope Health Services | 11320 E Truman Rd, Independence, MO 64050-2564 |
| Laura C Langmack | Nurse Practitioner | Specialized Wound Management LLC | 1415 W White Oak, The Groves, Independence, MO 64050-2590 |
| Hannah Rae Muzzy | Physical Therapy | Serc Rehabilitation Partners LLC | 108 W Maple Ave, Serc Independence Square, Independence, MO 64050-2814 |
| Scott Edward Bowlin | Family Medicine | 1500 W Truman Rd, Independence, MO 64050-3437 | |
| Stacy Anne Steely | Clinical Social Worker | 150 E Kansas Ave, Independence, MO 64050-3916 | |
| Jennifer D Liles | Clinical Social Worker | 136 E Walnut St, Suite 107, Independence, MO 64050-3990 | |
| Find all physicians in zip 64050 | |||
| City | INDEPENDENCE |
| Zip Code | 64050 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | INDEPENDENCE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jason B Bergman.
| 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.