Kenneth R Bergman (NPI# 1013912252, PAC ID# 7517111354) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ALLERGY/IMMUNOLOGY.
| Nation Provider ID (NPI) | 1013912252 |
| PAC ID by PECOS | 7517111354 |
| Professional Enrollment ID | I20130204000189 |
| Full Name | Kenneth R Bergman |
| Organization Legal Name | LOUDOUN MEDICAL GROUP PC |
| Address |
13890 Braddock Rd Suite 206 Centreville VA 20121-2437 |
| Phone Number | 7032632333 |
| Gender | M |
| Medical School | UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY |
| Graduation Year | 1967 |
| Primary Specialty | ALLERGY/IMMUNOLOGY |
| 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 |
| 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 |
| Thomas J Hegerich | Family Medicine | Loudoun Medical Group PC | 17336 Pickwick Dr, A, Purcellville, VA 20132-6180 |
| Street Address |
13890 BRADDOCK RD SUITE 206 |
| City | CENTREVILLE |
| State | VA |
| Zip | 20121-2437 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy Yun | Physical Therapy | Nr Physical Therapy LLC | 13890 Braddock Rd, Suite 103, Centreville, VA 20121-2436 |
| Kyung Han Kim | Physical Therapy | Nr Physical Therapy LLC | 13890 Braddock Rd, Suite 103, Centreville, VA 20121-2436 |
| Tiffany Loe | Physician Assistant | Inova Health Care Services | 13890 Braddock Rd, Suite 201, Centreville, VA 20121-2437 |
| Erin C Bosch | Physician Assistant | Inova Health Care Services | 13890 Braddock Rd, Suite 201, Centreville, VA 20121-2437 |
| John L Barnes | Chiropractic | John L. Barnes, D.c., P.C. | 13890 Braddock Rd, Suite 108, Centreville, VA 20121-2436 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Neda Hashemi | Obstetrics/gynecology | Neda Hashemi Md PC | 14701 Lee Hwy, Suite 303, Centreville, VA 20121-2135 |
| Samar Benhusen Merriman | Obstetrics/gynecology | Neda Hashemi Md PC | 14701 Lee Hwy, Suite 303, Centreville, VA 20121-2135 |
| Aliya B Ladha | Obstetrics/gynecology | Neda Hashemi Md PC | 14701 Lee Hwy, Suite 303, Centreville, VA 20121-2135 |
| Mojgan Haghshenas | Optometry | Centreville Optometry, LLC | 14245 E Centreville Sq, Centreville, VA 20121-2368 |
| Polin Lay | Optometry | Centreville Optometry, LLC | 14245 E Centreville Sq, Centreville, VA 20121-2368 |
| Brett Gladish | Physical Therapy | Jackson Clinics Limited Partnership | 5900 Fort Dr, Suite 208, Centreville, VA 20121-2425 |
| Julia Guerrant | Physical Therapy | Jackson Clinics Limited Partnership | 5900 Fort Dr, Suite 208, Centreville, VA 20121-2425 |
| Mccaul Benson | Physical Therapy | Jackson Clinics Limited Partnership | 5900 Fort Dr, Suite 208, Centreville, VA 20121-2425 |
| John Y Chong | Ophthalmology | 5900 Fort Dr, Suite 301, Centreville, VA 20121-2425 | |
| Ken Herbel | Physical Therapy | Jackson Clinics Limited Partnership | 5900 Fort Dr, Suite 208, Centreville, VA 20121-2425 |
| Find all physicians in zip 20121 | |||
| City | CENTREVILLE |
| Zip Code | 20121 |
| Specialty | ALLERGY/IMMUNOLOGY |
| City + Specialty | CENTREVILLE + ALLERGY/IMMUNOLOGY |
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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.