NPI

Thomas Paul Bergman

NPI 1558897173

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
P.A.
Type
Individual
Enumeration date
2017-05-02
Last updated
2020-06-16

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Specialties

Licenses

License MN
12457

Location

Practice location
1575 Beam Ave
City
Maplewood MN
Postal code
55109-1126
Phone
(612) 863-6590

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Maplewood, MN. 1,396 records in the public file.

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