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MR. TANNER MICHAEL BERGMAN M.S.
NPI 1710270475
Counselor - Mental Health in Oklahoma City, OK

Active since May 27, 2011
1442 NW 46TH ST, OKLAHOMA CITY, OK 73118(405) 410-8162 Get Directions Write a Review

NPPES record last updated: August 13, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 13, 2019, Aug 16, 2017 (2 updates tracked since 2017).

About Mr. Tanner Michael Bergman M.s. NPPES

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

MR. TANNER MICHAEL BERGMAN M.S. (NPI 1710270475) is an individual mental health provider in Oklahoma City, Oklahoma, licensed in Oklahoma (6236) and active in the NPI registry since May 2011. He maintains a secondary practice location in Oklahoma City.

NPPES Registry Identity

NPI1710270475
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. TANNER MICHAEL BERGMANCredential: M.S.
Location Address1442 NW 46TH STOklahoma City, OK 73118-4802
Mailing Address2816 Nw 27th StOklahoma City, OK 73107-2107 · (405) 410-8162
Phone(405) 410-8162
Sole ProprietorYes
Enumeration DateMay 27, 2011
Last NPPES UpdateAugust 13, 20192 updates tracked since enumeration
✔ NPI 1710270475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OK · 6236
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 6236 (OK)
1442 NW 46TH ST, Oklahoma City, OK 73118
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Other Names 1

Professional Name (2)Mr. Tanner M. Bergman Lpc, Ncc

Secondary Practice Location 1

Location 12617 General Pershing BlvdOklahoma City, OK 73107-6437 · Phone (405) 858-1700

Other Providers at the Same Location NPPES 2

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

CANDYCE OWENS LCSW
Social Worker (Clinical)
1442 NW 46TH ST
OKLAHOMA CITY, OK 73118
Oklahoma County (405) 684-3672
THE SPERO PROJECT
Clinic/Center (Mental Health (Including Community Mental Health Center))
1442 NW 46TH ST
OKLAHOMA CITY, OK 73118
Oklahoma County (918) 914-9768

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 Tanner Bergman's NPI number?

The NPI number for Tanner Bergman is 1710270475. It was assigned to this individual provider in the NPPES registry on May 27, 2011. The provider is also known as Mr. Tanner M. Bergman Lpc, Ncc.

Where is Tanner Bergman located?

Tanner Bergman practices at 1442 NW 46th St, Oklahoma City, OK 73118. The listed phone number is (405) 410-8162.

What is Tanner Bergman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Tanner Bergman was last updated on August 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.