Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAMES DOUGLAS BERGUM, CCP
Active Sole ProprietorJAMES DOUGLAS BERGUM, CCP is a Orthotic Fitter healthcare provider located in SANTA CRUZ, California. NPI 1073148235 is currently active in the NPPES registry. Verify at CMS.
Orthotic Fitter · SANTA CRUZ, CA
Registration Details
- NPI Number
- 1073148235
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 9, 2020 (6.3915820555838 yrs)
- Last Updated
- Mar 9, 2020
- License
-
049011
- Sole Proprietor
- Yes
Practice Information
- Address
-
1555 SOQUEL DRSANTA CRUZ, CA, 950651794Browse CA providers · Browse ZIP 95065
- Phone
- 8554894580
- Primary Specialty
-
Orthotic Fitter
242T00000X
Other Orthotic Fitter Providers in SANTA CRUZ, CA
| Name | Credential | NPI |
|---|---|---|
| MICHAEL D LABINGER | CCP | 1821215708 |
| MR. JOSEPH SCHULTZ HOLQUIST | CCP | 1154099950 |
| RITA KASPARIAN | — | 1588302210 |
| KAITLYN MICHELLE BRIGGS | — | 1225886468 |
| JESSICA GIMELLI | — | 1649156571 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.