DR. MAVERICK NIEMI BERGLUND DO
NPI 1548100175
Student in an Organized Health Care Education/Training Program in Buffalo, NY

Active since March 31, 2026
955 MAIN ST, BUFFALO, NY 14203(716) 829-6102 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Maverick Niemi Berglund Do NPPES

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

DR. MAVERICK NIEMI BERGLUND DO (NPI 1548100175) is an individual student in an organized health care education/training program in Buffalo, New York and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1548100175
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. MAVERICK NIEMI BERGLUNDCredential: DO
Location Address955 MAIN STBuffalo, NY 14203-1121
Mailing Address955 Main StBuffalo, NY 14203-1121
Sole ProprietorNo
Enumeration DateMarch 31, 2026
NPPES CertifiedMarch 31, 2026
NPI 1548100175 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.
955 MAIN ST, Buffalo, NY 14203

Other Providers at the Same Location NPPES 20

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

Student in an Organized Health Care Education/Training Program
955 MAIN ST
BUFFALO, NY 14203
Student in an Organized Health Care Education/Training Program
955 MAIN ST
BUFFALO, NY 14203
Student in an Organized Health Care Education/Training Program
955 MAIN ST
BUFFALO, NY 14203
Student in an Organized Health Care Education/Training Program
955 MAIN ST
BUFFALO, NY 14203
Student in an Organized Health Care Education/Training Program
955 MAIN ST, ATTN: JEFF ZHANG
BUFFALO, NY 14203
Student in an Organized Health Care Education/Training Program
955 MAIN ST
BUFFALO, NY 14203
Student in an Organized Health Care Education/Training Program
955 MAIN ST
BUFFALO, NY 14203
Student in an Organized Health Care Education/Training Program
955 MAIN ST
BUFFALO, NY 14203

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 Maverick Berglund's NPI number?

The NPI number for Maverick Berglund is 1548100175. It was assigned to this individual provider in the NPPES registry on March 31, 2026.

Where is Maverick Berglund located?

Maverick Berglund practices at 955 Main St, Buffalo, NY 14203. The listed phone number is (716) 829-6102.

What is Maverick Berglund's specialty?

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

When was this NPI record last updated?

The NPPES record for Maverick Berglund was last updated on March 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.