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DR. KYLE THOMAS BERGAN DNP APRN FNP-C NPI 1114490224


NPI Information

NPI: 1114490224
Provider Name: DR. KYLE THOMAS BERGAN, DNP, APRN, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
17960 HALSTED ST
HOMEWOOD, IL
ZIP 60430
Phone: (708) 922-0911
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DR. Kyle Thomas Bergan, DNP, APRN, FNP-C is a family nurse practitioner in Homewood, IL with 7 years of experience. DR. Kyle Thomas Bergan, DNP, APRN, FNP-C NPI is 1114490224. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

17960 HALSTED ST
HOMEWOOD, IL
ZIP 60430-014
Phone: (708) 922-0911

The NPI 1114490224 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.

  • Automated urinalysis test (HCPCS:81003)

The enumeration date for this NPI number is 1/11/2019 and was last updated on 9/25/2023.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily71011442AINDIANANo
2363LF0000XNurse PractitionerFamily209017205ILLINOISNo
3363LF0000XNurse PractitionerFamily26NJ000891500NEW JERSEYYes
4163WE0003XRegistered NurseEmergency041389716ILLINOISNo
5163WE0003XRegistered NurseEmergency28268975AINDIANANo
6363L00000XNurse Practitioner4704285087MICHIGANNo
7163W00000XRegistered Nurse26NR20578200NEW JERSEYNo

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: 5/5/2024

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.