MS. DOROTHY JOAN BERGOLD LICSW
NPI 1902389463
Clinic/Center - Primary Care in Revere, MA

Active since September 11, 2018
385 BROADWAY, REVERE, MA 02151(781) 485-1000 Get Directions Write a Review

NPPES record last updated: September 11, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Dorothy Joan Bergold Licsw NPPES

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

MS. DOROTHY JOAN BERGOLD LICSW (NPI 1902389463) is an individual primary care provider in Revere, Massachusetts, licensed in Massachusetts (105125) and active in the NPI registry since September 2018.

NPPES Registry Identity

NPI1902389463
Entity TypeIndividualFemale
Primary Taxonomy261QP2300X
Provider Legal NameMS. DOROTHY JOAN BERGOLDCredential: LICSW
Location Address385 BROADWAYRevere, MA 02151-3033
Mailing Address13 Hersam StStoneham, MA 02180-2441 · (781) 438-9006
Sole ProprietorYes
Enumeration DateSeptember 11, 2018
NPI 1902389463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in MA · 105125
385 BROADWAY, Revere, MA 02151

Other Providers at the Same Location NPPES 8

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
385 BROADWAY
REVERE, MA 02151
Dentist
385 BROADWAY
REVERE, MA 02151
Internal Medicine
385 BROADWAY, MGH BROADWAY PRIMARY CARE
REVERE, MA 02151
Physical Therapy Assistant
385 BROADWAY
REVERE, MA 02151
Physical Therapist (Orthopedic)
385 BROADWAY, SUITE 205
REVERE, MA 02151
Nurse Practitioner (Pediatrics)
385 BROADWAY
REVERE, MA 02151
Physical Therapist (Orthopedic)
385 BROADWAY, SUITE 205
REVERE, MA 02151
Dentist
385 BROADWAY, SUITE 2
REVERE, MA 02151

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 Dorothy Bergold's NPI number?

The NPI number for Dorothy Bergold is 1902389463. It was assigned to this individual provider in the NPPES registry on September 11, 2018.

Where is Dorothy Bergold located?

Dorothy Bergold practices at 385 Broadway, Revere, MA 02151. The listed phone number is (781) 485-1000.

What is Dorothy Bergold's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Dorothy Bergold was last updated on September 11, 2018. 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.