JOHN JOSEPH BERGLUND III MD
NPI 1083318059
Student in an Organized Health Care Education/Training Program in Ann Arbor, MI

Active since March 27, 2023PECOS Enrolled
1500 E MEDICAL CENTER DR # B1D502, ANN ARBOR, MI 48109(734) 936-4000 Get Directions Write a Review

NPPES record last updated: July 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 1, 2024, Mar 27, 2023 (2 updates tracked since 2023).

About John Joseph Berglund Iii Md NPPES

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

JOHN JOSEPH BERGLUND III MD (NPI 1083318059) is an individual student in an organized health care education/training program in Ann Arbor, Michigan and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Livonia.

NPPES Registry Identity

NPI1083318059
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJOHN JOSEPH BERGLUND IIICredential: MD
Location Address1500 E MEDICAL CENTER DR # B1D502Ann Arbor, MI 48109-5000
Mailing Address1500 E Medical Center Dr # B1d502Ann Arbor, MI 48109-5000 · Fax (734) 763-9523
Sole ProprietorNo
Enumeration DateMarch 27, 2023
Last NPPES UpdateJuly 1, 20242 updates tracked since enumeration
NPPES CertifiedJune 5, 2024
NPI 1083318059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1500 E MEDICAL CENTER DR # B1D502, Ann Arbor, MI 48109

Secondary Practice Location 1

Location 136475 Five Mile RdLivonia, MI 48154-1971 · Phone (734) 655-4800 · Fax (734) 655-2911

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

John Joseph Berglund Iii Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 4

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

Radiology (Diagnostic Radiology)
1500 E MEDICAL CENTER DR # B1D502
ANN ARBOR, MI 48109
Student in an Organized Health Care Education/Training Program
1500 E MEDICAL CENTER DR # B1D502
ANN ARBOR, MI 48109
Radiology (Diagnostic Radiology)
1500 E MEDICAL CENTER DR # B1D502
ANN ARBOR, MI 48109
Student in an Organized Health Care Education/Training Program
1500 E MEDICAL CENTER DR # B1D502
ANN ARBOR, MI 48109

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 John Berglund's NPI number?

The NPI number for John Berglund is 1083318059. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Where is John Berglund located?

John Berglund practices at 1500 E Medical Center Dr # B1d502, Ann Arbor, MI 48109. The listed phone number is (734) 936-4000.

What is John Berglund's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is John Berglund enrolled in Medicare?

Yes. John Berglund is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Berglund was last updated on July 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.