DR. JORDAN BERGMANN M.D.
NPI 1548796196
General Practice in San Diego, CA

Q: What is Jordan Bergmann's NPI number?

The NPI number for Jordan Bergmann is 1548796196. It was assigned to this individual provider in the NPPES registry on May 2, 2017.

Q: What is Jordan Bergmann's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Jordan Bergmann was last updated on August 23, 2023. 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.

Active since May 02, 2017PECOS Enrolled

NAVAL MEDICAL CTR, 34800 BOB WILSON DR, SAN DIEGO, CA 92134(619) 532-6827(619) 532-7508 Get Directions Write a Review

NPPES record last updated: August 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Jordan Bergmann M.d. NPPES

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

DR. JORDAN BERGMANN M.D. (NPI 1548796196) is an individual general practice provider in San Diego, California, licensed in Alabama (37335) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS and is a graduate of Tulane University School Of Medicine (2017).

NPPES Registry Identity

NPI1548796196

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameDR. JORDAN BERGMANNCredential: M.D.

Location AddressNAVAL MEDICAL CTR, 34800 BOB WILSON DRSan Diego, CA 92134-0001

Mailing Address4494 Palmer Rd NBethesda, MD 20814-0001 · (301) 295-4000

Phone(619) 532-6827

Fax(619) 532-7508

Sole ProprietorNo

Medical School CMSTulane University School Of MedicineGraduated 2017

Enumeration DateMay 2, 2017

Last NPPES UpdateAugust 23, 2023

NPPES CertifiedAugust 21, 2023

✔ NPI 1548796196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in AL · 37335

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedMilitary Health Care ProviderTaxonomy 171000000X

NAVAL MEDICAL CTR, San Diego, CA 92134

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jordan Bergmann M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID143705798

PECOS Enrollment IDI20260331004542

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.

Leave this field empty

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.

DR. VIKAS SHRIVASTAVA M.D.

Dermatology

NAVAL MEDICAL CTR, 34800 BOB WILSON DR
SAN DIEGO, CA 92134

San Diego County (619) 251-7471

MR. JASON WILLIAM BECKFORD

Military Health Care Provider (Independent Duty Corpsman)