Brandon S Bergman
Community Health Worker in Pawtucket, Rhode Island
1861176513- Practice location
- 710 Armistice Blvd, Pawtucket, RI 02861-2749
- Phone
- 857-204-3200
- Fax
- —
- Last updated
- September 5, 2025
Brandon Scott Bergman is a Community Health Worker based in Pawtucket, RI. Brandon Scott Bergman practices in Pawtucket, RI. The NPI Number for Brandon Scott Bergman is 1861176513. The current practice location address for Brandon Scott Bergman is 710 Armistice Blvd, Pawtucket, RI 02861-2749 and can be reached out via phone at 857-204-3200.
Provider Profile Details
- NPI Number
- 1861176513
- Provider Name
- Brandon Scott Bergman
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 710 Armistice Blvd, Pawtucket, RI 02861-2749
- Phone Number
- 857-204-3200
- Primary Taxonomy
- Community Health Worker · 172V00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 13, 2023
- Last Update Date
- September 5, 2025
- Certification Date
- September 5, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 710 Armistice Blvd
Pawtucket, RI 02861-2749 - City
- Pawtucket
- State
- Rhode Island
- Zip
- 02861-2749
- Phone Number
- 857-204-3200
Provider Business Mailing Address Details
- Address
- 710 Armistice Blvd
Pawtucket, RI 02861-2749 - City
- Pawtucket
- State
- RI
- Zip
- 02861-2749
- Phone Number
- 857-204-3200
License Information
- Taxonomy
- Community Health Worker · 172V00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Brandon S Bergman?
The NPI number of Brandon S Bergman is 1861176513. It was assigned on June 13, 2023 and is currently active in the NPPES registry.
What is the specialty of Brandon S Bergman?
Brandon S Bergman is registered under the primary taxonomy Community Health Worker (code 172V00000X).
Where does Brandon S Bergman practice?
The practice location is 710 Armistice Blvd, Pawtucket, RI 02861-2749. The office can be reached at 857-204-3200 (phone).
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 1861176513 directly on the NPPES registry website.