Jared Douglas Bergman, is a
Student In An Organized Health Care Education/training Program based in Pittsburgh, Pennsylvania. Jared Douglas Bergman is licensed to practice in NU (license number ) and his current practice location is
203 Lothrop St Ste 214, Pittsburgh, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at
(412) 648-6801.
NPI number for Jared Douglas Bergman is 1740129147 and his current mailing address is 3600 Forbes Ave, Pittsburgh, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1740129147.
Healthcare Provider's Profile
| Full Name | Jared Douglas Bergman |
|---|
| Gender | Male |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 203 Lothrop St Ste 214, Pittsburgh, Pennsylvania |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1740129147
- Provider Enumeration Date: 03/28/2026
- Last Update Date: 07/22/2026
Medical Identifiers
Medical identifiers for Jared Douglas Bergman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1740129147 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 122300000X | Dentist | DS045780 (Pennsylvania) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jared Douglas Bergman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Jared Douglas Bergman, 3600 Forbes Ave, Pittsburgh, PA 15213-3410 Ph: (412) 624-3595 | Jared Douglas Bergman, 203 Lothrop St Ste 214, Pittsburgh, PA 15213-2548 Ph: (412) 648-6801 |
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