Provider Type Icon

MRS. AILEEN ELIZABETH BERGEN PA NPI 1003130402


NPI Information

NPI: 1003130402
Provider Name: MRS. AILEEN ELIZABETH BERGEN, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
1800 CAMELOT DR STE 300
VIRGINIA BEACH, VA
ZIP 23454
Phone: (757) 321-3300
Get Directions

MRS. Aileen Elizabeth Bergen, PA is a medical physician assistant in Virginia Beach, VA with 15 years of experience. MRS. Aileen Elizabeth Bergen, PA NPI is 1003130402. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1800 CAMELOT DR STE 300
VIRGINIA BEACH, VA
ZIP 23454-440
Phone: (757) 321-3300
Fax: (757) 321-3330

The NPI 1003130402 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of knee, 3 views (HCPCS:73562)
  • Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of hip with pelvis, 2-3 views (HCPCS:73502)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • Aspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasound guidance (HCPCS:20611)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)

The enumeration date for this NPI number is 3/15/2010 and was last updated on 1/19/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363A00000XPhysician Assistant0110003549VIRGINIANo
2363A00000XPhysician Assistant013890NEW YORKNo
3363AS0400XPhysician AssistantSurgical2508SOUTH CAROLINANo
4363AM0700XPhysician AssistantMedical0110003549VIRGINIAYes
5363A00000XPhysician AssistantPA2523TENNESSEENo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11003130402MEDICAIDVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.