TAYLOR KRISTINE BERGSTROM NPI 1457937187

NPI Information

  • NPI: 1457937187
  • Provider Name: TAYLOR KRISTINE BERGSTROM
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3280 HOWELL MILL RD NW STE 243
    ATLANTA, GA
    ZIP 30327
  • Phone: (678) 215-1882

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NPI Details

Taylor Kristine Bergstrom is a foot and ankle surgery podiatrist in Atlanta, GA with 5 years of experience. Taylor Kristine Bergstrom NPI is 1457937187. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: R FRANKLIN UNIVERSITY OF MED & SCI/CHICAGO MEDICAL SCHOOL
Graduation Year:2021

The provider's business location address is:

3280 HOWELL MILL RD NW STE 243
ATLANTA, GA
ZIP 30327-100
Phone: (678) 215-1882
Fax: (561) 548-1743

The NPI 1457937187 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).

The enumeration date for this NPI number is 3/23/2021 and was last updated on 4/11/2025.

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
1390200000XStudent in an Organized Health Care Education/Training ProgramFLORIDANo
2213ES0103XPodiatristFoot & Ankle SurgeryPOD305017GEORGIAYes

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: 11/21/2025

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