Kayla Bergman | Washington, DC • PECOS Search

Kayla Bergman

Dietitian, Registered

Dietary & Nutritional Service Providers

111 Michigan Ave NW, Washington, DC 20010-2916

PECOS Enrollment

Based on the most recent information from CMS, provider Kayla Bergman does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1215489117
Provider Type
Individual
Full Name
Bergman, Kayla
Credential
RD

Gender
Female
Sole Proprietor
No
Enumeration Date
10/27/2016
Last Updated
10/27/2016

Contact Information

Practice Location

111 Michigan Ave NW, Washington, DC 20010-2916

Unlisted Fax

Mailing Location

2338 Westport Ln, Crofton, MD 21114-1211

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 133V00000X Primary	Description Dietitian, Registered Dietary & Nutritional Service Providers	License DX4109 Maryland