MARTIN JAN BERGMAN NPI 1467850941

NPI Information

  • NPI: 1467850941
  • Provider Name: MARTIN JAN BERGMAN
  • Classification: Internal Medicine - 207RR0500X
  • Specialization: Rheumatology
  • Entity Type: Organization
  • Address: 23 W CHESTER PIKE
    SUITE 201
    RIDLEY PARK, PA
    ZIP 19078
  • Phone: (610) 521-1701

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NPI Details

MARTIN JAN BERGMAN is a rheumatology internal medicine in Ridley Park, PA. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. MARTIN JAN BERGMAN NPI is 1467850941. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

23 W CHESTER PIKE
SUITE 201
RIDLEY PARK, PA
ZIP 19078-629
Phone: (610) 521-1701
Fax: (610) 521-9450

The provider's authorized official is Martin Jan Bergman .
The authorized official title is Owner and has the following contact phone number (610) 521-1701.

The enumeration date for this NPI number is 12/15/2014 and was last updated on 7/16/2019.

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
1207RR0500XInternal MedicineRheumatologyMD 030099EPENNSYLVANIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10010798830002MEDICAIDPENNSYLVANIA
2043725OTHERPTAN

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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