JENNIFER E. BERGSTROM M.D. – NPI #1184910879
Obstetrics & Gynecology

An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.

JENNIFER BERGSTROM is a physician located in WASHINGTON, DC. NPPES has assigned the NPI number 1184910879 to JENNIFER BERGSTROM on June 22, 2011. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207VX0201X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Gynecologic Oncology

The NPI profile was previously updated about 3 years ago on May 16, 2023. 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 JENNIFER BERGSTROM below.

NPI Profile for
JENNIFER E. BERGSTROM

NPI Number
1184910879
Enumeration Date

(about 15 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
JENNIFER E. BERGSTROM
Credentials
M.D.
Primary location
2150 PENNSYLVANIA AVE NW
WASHINGTON, DC 20037-3201
Phone: (202) 741-2210 Fax:
2 Other location(s):
6400 Arlington Blvd Ste 210
Falls Church, VA 22042-2349
Phone: (703) 531-3000
Fax: (703) 531-3142
620 John Paul Jones Circle
Naval Medical Center Portsmouth
Portsmouth, VA 23708
Phone: (812) 249-4887
Mailing address
PO BOX 37174
BALTIMORE, MD 21297-3174
Phone: (571) 423-5699 Fax: (571) 423-5698
Sole Proprietor
No
Updated
Certification Date
May 16, 2023

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
207VX0201X
- Obstetrics & Gynecology / Gynecologic Oncology (Primary)
DC MD210011491
207V00000X
- Obstetrics & Gynecology
VA 0101252770

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
  • Order Power Mobility Devices

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How do I correct or change the NPI data displayed here?
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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.