JASON BERGMANN CPED NPI 1992217129

NPI Information

NPI: 1992217129
Provider Name: JASON BERGMANN, CPED
Classification: Pedorthist - 224L00000X
Entity Type: Individual
Address:
1864 JOHNS DR
GLENVIEW, IL
ZIP 60025
Phone: (847) 729-7923
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Jason Bergmann, CPED is a pedorthist in Glenview, IL. The provider is an individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices. Jason Bergmann, CPED NPI is 1992217129. 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:

1864 JOHNS DR
GLENVIEW, IL
ZIP 60025-657
Phone: (847) 729-7923

The enumeration date for this NPI number is 10/27/2017 and was last updated on 10/27/2017.

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
1	224L00000X	Pedorthist		212.000209	ILLINOIS	Yes

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

NPI Synchronization or Removal

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