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BERGEN LEMACK DO
NPI 1952293961
Student in an Organized Health Care Education/Training Program in Fort Worth, TX

Active since July 16, 2025PECOS Enrolled
1400 8TH AVE, FORT WORTH, TX 76104(817) 926-2544 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Bergen Lemack Do NPPES

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

BERGEN LEMACK DO (NPI 1952293961) is an individual student in an organized health care education/training program in Fort Worth, Texas and active in the NPI registry since July 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952293961
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBERGEN LEMACKCredential: DO
Location Address1400 8TH AVEFort Worth, TX 76104-4110
Mailing Address3001 Crockett St Apt 1467Fort Worth, TX 76107-3278 · (972) 757-6983
Phone(817) 926-2544
Sole ProprietorNo
Enumeration DateJuly 16, 2025
Last NPPES UpdateMarch 25, 2026
NPPES CertifiedMarch 25, 2026
✔ NPI 1952293961 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
1400 8TH AVE, Fort Worth, TX 76104
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bergen Lemack Do 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 20

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

JOEY MAYOR MD
Emergency Medicine
1400 8TH AVE
FORT WORTH, TX 76104
Tarrant County (214) 712-2074
MARY AGNES JOHNSON NP
Nurse Practitioner
1400 8TH AVE
FORT WORTH, TX 76104
Tarrant County (817) 922-7070
JEFF DURBIN
Registered Nurse (Registered Nurse First Assistant)
1400 8TH AVE
FORT WORTH, TX 76104
Tarrant County (817) 926-2544
AUSTIN FORD BENTON PA-C
Physician Assistant
1400 8TH AVE
FORT WORTH, TX 76104
Tarrant County (817) 926-2544
ANNELISE KUTZLER
Obstetrics & Gynecology
1400 8TH AVE
FORT WORTH, TX 76104
Tarrant County (817) 922-4534
ESHA SINGHAL MD
Student in an Organized Health Care Education/Training Program
1400 8TH AVE
FORT WORTH, TX 76104
Tarrant County (817) 922-4534
SARAH ELIZABETH ANDRADE DO
Student in an Organized Health Care Education/Training Program
1400 8TH AVE
FORT WORTH, TX 76104
Tarrant County (817) 922-4535
DR. LUCAS CADE COLSON PHARM. D.
Pharmacist (Pharmacotherapy)
1400 8TH AVE
FORT WORTH, TX 76104
Tarrant County (817) 922-2074

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 Bergen Lemack's NPI number?

The NPI number for Bergen Lemack is 1952293961. It was assigned to this individual provider in the NPPES registry on July 16, 2025.

Where is Bergen Lemack located?

Bergen Lemack practices at 1400 8th Ave, Fort Worth, TX 76104. The listed phone number is (817) 926-2544.

What is Bergen Lemack's specialty?

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

Is Bergen Lemack enrolled in Medicare?

Yes. Bergen Lemack is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bergen Lemack was last updated on March 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.