Active NPIIndividual providerSole proprietor

Mirayah Bergmann, ATC, LAT

Specialist/Technologist, Athletic Trainer in North Bridgton, Maine

NPI Number1508667510
Practice location
11 Academy Ln, North Bridgton, ME 04057-1808
Fax
207-810-2020
Last updated
March 24, 2025

Mirayah Bergmann is a Specialist/Technologist, Athletic Trainer based in North Bridgton, ME. Mirayah Bergmann practices in North Bridgton, ME and has the professional credentials of ATC, LAT. The NPI Number for Mirayah Bergmann is 1508667510 and holds a License No. AT609 (ME). The current practice location address for Mirayah Bergmann is 11 Academy Ln, North Bridgton, ME 04057-1808 and can be reached out via phone at 207-691-5843 and via fax at 207-810-2020.

Provider Profile Details

NPI Number
1508667510
Provider Name
Mirayah Bergmann
Credential
ATC, LAT
Provider Entity Type
Individual
Gender
Female
Address
11 Academy Ln, North Bridgton, ME 04057-1808
Phone Number
207-691-5843
Fax Number
207-810-2020
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
Yes
Other Names
Mia Bergmann, ATC, LAT (Other Name)
Provider Enumeration Date
March 24, 2025
Last Update Date
March 24, 2025
Certification Date
March 24, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
11 Academy Ln
North Bridgton, ME 04057-1808
State
Maine
Zip
04057-1808
Phone Number
207-691-5843
Fax Number
207-810-2020
North Bridgton, ME 04057Get directions →

Provider Business Mailing Address Details

Address
11 Academy Ln
North Bridgton, ME 04057-1808
City
North Bridgton
State
ME
Zip
04057-1808
Phone Number
207-691-5843
Fax Number
207-810-2020

License Information

License Number
AT609
License State
ME
Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mirayah Bergmann, ATC, LAT?

The NPI number of Mirayah Bergmann, ATC, LAT is 1508667510. It was assigned on March 24, 2025 and is currently active in the NPPES registry.

What is the specialty of Mirayah Bergmann, ATC, LAT?

Mirayah Bergmann, ATC, LAT is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in ME under license number AT609.

Where does Mirayah Bergmann, ATC, LAT practice?

The practice location is 11 Academy Ln, North Bridgton, ME 04057-1808. The office can be reached at 207-691-5843 (phone) or 207-810-2020 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1508667510 directly on the NPPES registry website.

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