SIMON BERGMAN MD NPI 1871577304

NPI Information

  • NPI: 1871577304
  • Provider Name: SIMON BERGMAN, MD
  • Classification: Pathology - 207ZP0101X
  • Specialization: Anatomic Pathology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: MEDICAL CENTER BLVD
    WINSTON SALEM, NC
    ZIP 27157
  • Phone: (336) 716-2255

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NPI Details

Simon Bergman, MD is an anatomic pathology pathology in Winston Salem, NC. The provider is a pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. Simon Bergman, MD NPI is 1871577304. 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:

MEDICAL CENTER BLVD
WINSTON SALEM, NC
ZIP 27157-001
Phone: (336) 716-2255
Fax: (336) 716-7595

The NPI 1871577304 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 11/29/2005 and was last updated on 8/19/2010.

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
1207ZC0500XPathologyCytopathology99-00765NORTH CAROLINANo
2207ZP0101XPathologyAnatomic Pathology99-00765NORTH CAROLINAYes

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
1Q00765MEDICAIDSOUTH CAROLINA
26605176MEDICAIDVIRGINIA
39801025000MEDICAIDWEST VIRGINIA
4891211XMEDICAIDNORTH CAROLINA
588713OTHERMEDCOST
632153OTHERPARTNERS
71211XOTHERBCBS
87222325OTHERAETNA
9G36942MEDICARE UPIN
102278311AMEDICARE PINNORTH CAROLINA

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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