KELLY R. BERGMANN D.O. – NPI #1790002129
Emergency Medicine

Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department.

KELLY BERGMANN is a physician located in MINNEAPOLIS, MN. NPPES has assigned the NPI number 1790002129 to KELLY BERGMANN on April 25, 2010. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207PP0204X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine, specializing in Pediatric Emergency Medicine

The NPI profile was previously updated about 6 years ago on Feb 15, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KELLY BERGMANN below.

NPI Profile for
KELLY R. BERGMANN

NPI Number
1790002129
Enumeration Date

(more than 16 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
KELLY R. BERGMANN
Credentials
D.O.
Primary location
2525 CHICAGO AVE
MINNEAPOLIS, MN 55404-4518
Phone: (952) 334-5309 Fax:
1 Other location(s):
111 Hundertmark Rd
Chaska, MN 55318-4551
Phone: (952) 334-5309
Mailing address
14 E 49TH ST
MINNEAPOLIS, MN 55419-5613
Phone: (952) 334-5309 Fax:
Sole Proprietor
Yes
Updated
Certification Date
Feb 15, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207PP0204X
- Emergency Medicine / Pediatric Emergency Medicine (Primary)
MN 54669

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.