Dr. Michael S. Bergman, Ph.D.
Psychologist, Clinical in Austin, TX. Individual provider (NPI-1).
NPI number1265631014
StatusActive
Last updated in NPPESJul 22, 2026
Details
- NPI
- 1265631014
- Entity type
- Individual (NPI-1)
- Name
- Dr. Michael S. Bergman
- Credential
- Ph.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 12, 2007
- Certification date
- Jul 22, 2026
- Last updated
- Jul 22, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 33417 | TX | Yes |
Practice location
2630 Exposition Blvd Ste 116Austin, TX 78703-1758
Phone 512-417-2723
Mailing address
508 Ann StWilmington, NC 28401-4608
Phone 512-417-2723
Is something wrong?
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