DR. LAWRENCE RUSSELL BERGMAN M.D.
NPI 1073518130
Pediatrics - Adolescent Medicine in Wellington, FL

Active since June 16, 2005CLIA 10D1065956 · Waiver
10115 W FOREST HILL BLVD, STE 303, WELLINGTON, FL 33414(561) 798-5565(561) 798-9756 Get Directions Write a Review

NPPES record last updated: September 21, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Lawrence Russell Bergman M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LAWRENCE RUSSELL BERGMAN M.D. (NPI 1073518130) is an individual adolescent medicine provider in Wellington, Florida, licensed in Florida (ME56164) and active in the NPI registry since June 2005. He holds a CLIA Waiver certificate valid through March 12, 2027.

NPPES Registry Identity

NPI1073518130
Entity TypeIndividualMale
Primary Taxonomy2080A0000X
Provider Legal NameDR. LAWRENCE RUSSELL BERGMANCredential: M.D.
Location Address10115 W FOREST HILL BLVD, STE 303Wellington, FL 33414-3102
Mailing Address10115 W Forest Hill Blvd, Ste 303Wellington, FL 33414-3102 · (561) 798-5565 · Fax (561) 798-9756
Fax(561) 798-9756
Sole ProprietorYes
Enumeration DateJune 16, 2005
Last NPPES UpdateSeptember 21, 2011
NPI 1073518130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License Licensed in FL · ME56164
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
10115 W FOREST HILL BLVD, Wellington, FL 33414

Other Identifiers 2

Medicaid003224800FL
Medicare UPINE91787FL

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D1065956

Lawrence Bergman MD LLC · Wellington, FL
Active · expires Mar 12, 2027
CLIA Number10D1065956
Laboratory TypePhysician Office
Certificate Effective DateMarch 13, 2025
Certificate Expiration DateMarch 12, 2027
Laboratory DirectorLawrence R. Bergman
Laboratory Phone(561) 798-5565
Laboratory LocationLawrence Bergman MD LLC10115 W Forest Hill Boulevard Ste 303, Wellington, FL 33414
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Gastroenterology)
10115 W FOREST HILL BLVD, SUITE 100
WELLINGTON, FL 33414
Internal Medicine
10115 W FOREST HILL BLVD, SUITE 200
WELLINGTON, FL 33414
Dentist (Orthodontics and Dentofacial Orthopedics)
10115 W FOREST HILL BLVD, SUITE 301
WELLINGTON, FL 33414
Surgery
10115 W FOREST HILL BLVD, SUITE 302
WELLINGTON, FL 33414
Surgery
10115 W FOREST HILL BLVD, SUITE 405
WELLINGTON, FL 33414
Obstetrics & Gynecology (Maternal & Fetal Medicine)
10115 W FOREST HILL BLVD, SUITE 401B
WELLINGTON, FL 33414
Internal Medicine (Gastroenterology)
10115 W FOREST HILL BLVD, SUITE 100
WELLINGTON, FL 33414
Surgery
10115 W FOREST HILL BLVD, SUITE 302
WELLINGTON, FL 33414

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lawrence Bergman's NPI number?

The NPI number for Lawrence Bergman is 1073518130. It was assigned to this individual provider in the NPPES registry on June 16, 2005.

Where is Lawrence Bergman located?

Lawrence Bergman practices at 10115 W Forest Hill Blvd Ste 303, Wellington, FL 33414. The listed phone number is (561) 798-5565.

What is Lawrence Bergman's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Does Lawrence Bergman hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1065956) is associated with this NPI, valid through March 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lawrence Bergman accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida list Lawrence Bergman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lawrence Bergman was last updated on September 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.