Jordan Bergmann | San Diego, CA • PECOS Search

Jordan Bergmann

General Practice

Allopathic & Osteopathic Physicians

Naval Medical Ctr, 34800 Bob Wilson Dr, San Diego, CA 92134-0001

(619) 532-6827 (301) 295-4000

PECOS Enrollment

Based on the most recent information from CMS, provider Jordan Bergmann 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 3 days ago.

Profile Details

Provider ID
1548796196
Provider Type
Individual
Full Name
Bergmann, Jordan
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
5/2/2017
Last Updated
8/23/2023

Contact Information

Practice Location

Naval Medical Ctr, 34800 Bob Wilson Dr, San Diego, CA 92134-0001

(619) 532-7508

Mailing Location

4494 Palmer Rd N, Bethesda, MD 20814-0001

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208D00000X Primary	Description General Practice Allopathic & Osteopathic Physicians	License 37335 Alabama
Code 171000000X	Description Military Health Care Provider Other Service Providers	License Unlisted Issuer