Nicole Manning Bergesch (NPI# 1730646779, PAC ID# 3476896549) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
Nation Provider ID (NPI) | 1730646779 |
PAC ID by PECOS | 3476896549 |
Professional Enrollment ID | I20190514001331 |
Full Name | Nicole Manning Bergesch |
Organization Legal Name | REVIVE MEDICAL OF SAN DIEGO |
Address |
7220 Trade St Suite 209 San Diego CA 92121-2326 |
Phone Number | 8588001006 |
Gender | F |
Graduation Year | 2018 |
Primary Specialty | PHYSICAL THERAPY |
Group Practice PAC ID | 5092056218 |
Number of Group Practice Members | 6 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
7220 Trade St, Suite 209, San Diego, CA 92121-2326 | 8588001006 | REVIVE MEDICAL OF SAN DIEGO |
Organization Legal Name | REVIVE MEDICAL OF SAN DIEGO |
Physicians | 6 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jeffrey Hensley | Nurse Practitioner | Revive Medical of San Diego | 2940 W Florida Ave, Suite B, Hemet, CA 92545-3655 |
Trevor N Dsouza | Physical Therapy | Revive Medical of San Diego | 7220 Trade St, Suite 209, San Diego, CA 92121-2326 |
Robert Alan Ehrnman | Chiropractic | Revive Medical of San Diego | 7220 Trade St, Suite 209, San Diego, CA 92121-2326 |
Michael Woo-ming | Family Medicine | Revive Medical of San Diego | 7220 Trade St, Suite 209, San Diego, CA 92121-2326 |
Hyman D Sacks | Family Medicine | Revive Medical of San Diego | 7220 Trade St, Suite 209, San Diego, CA 92121-2326 |
Street Address |
7220 TRADE ST SUITE 209 |
City | SAN DIEGO |
State | CA |
Zip | 92121-2326 |
Name | Specialty | Organization | Address |
---|---|---|---|
Trevor N Dsouza | Physical Therapy | Revive Medical of San Diego | 7220 Trade St, Suite 209, San Diego, CA 92121-2326 |
Robert Alan Ehrnman | Chiropractic | Revive Medical of San Diego | 7220 Trade St, Suite 209, San Diego, CA 92121-2326 |
Michael Woo-ming | Family Medicine | Revive Medical of San Diego | 7220 Trade St, Suite 209, San Diego, CA 92121-2326 |
Hyman D Sacks | Family Medicine | Revive Medical of San Diego | 7220 Trade St, Suite 209, San Diego, CA 92121-2326 |
Name | Specialty | Organization | Address |
---|---|---|---|
Stephen Daniel Garner | Physical Therapy | Rehab United Sports Medicine and Physical Therapy, Inc. | 3323 Carmel Mountain Rd, Suite 200, San Diego, CA 92121-1035 |
Bryan S Hill | Physical Therapy | Rehab United Sports Medicine and Physical Therapy, Inc. | 3323 Carmel Mountain Rd, Suite 200, San Diego, CA 92121-1035 |
Tomislav Mijo Cotic | Physical Therapy | Rehab United Sports Medicine and Physical Therapy, Inc. | 3323 Carmel Mountain Rd, Suite 200, San Diego, CA 92121-1035 |
Christopher D Giudicelli | Physical Therapy | Rehab United Sports Medicine and Physical Therapy, Inc. | 3323 Carmel Mountain Rd, Suite 200, San Diego, CA 92121-1035 |
Jessica Stemler Chavarria | Physical Therapy | Rehab United Sports Medicine and Physical Therapy, Inc. | 3323 Carmel Mountain Rd, Suite 200, San Diego, CA 92121-1035 |
Haley E Shetter | Physical Therapy | Rehab United Sports Medicine and Physical Therapy, Inc. | 3323 Carmel Mountain Rd, Suite 200, San Diego, CA 92121-1035 |
Alex Harrington | Physical Therapy | Rehab United Sports Medicine and Physical Therapy, Inc. | 3323 Carmel Mountain Rd, Suite 200, San Diego, CA 92121-1035 |
Patrick Harris Stewart | Physical Therapy | Rehab United Sports Medicine and Physical Therapy, Inc. | 3323 Carmel Mountain Rd, Suite 200, San Diego, CA 92121-1035 |
Brian A Gingras | Physical Therapy | Rehab United Sports Medicine and Physical Therapy, Inc. | 3323 Carmel Mountain Rd, Suite 200, San Diego, CA 92121-1035 |
Andrew Ohnersorgen | Physical Therapy | Rehab United Sports Medicine and Physical Therapy, Inc. | 3323 Carmel Mountain Rd, Suite 200, San Diego, CA 92121-1035 |
Find all physicians in zip 92121 |
City | SAN DIEGO |
Zip Code | 92121 |
Specialty | PHYSICAL THERAPY |
City + Specialty | SAN DIEGO + PHYSICAL THERAPY |
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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.