MEDICARE: DR. JOHN J BERGIN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0001X	Radiation Oncology Physician	ME168285	FL

General Provider Information

NPI Number	:	1073040382
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN J BERGIN MD

Provider Business Mailing Address
First Line	:	PO BOX 931887
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	31193-1887
Country	:	US
Telephone Number	:	888-802-9885
Fax Number	:	615-783-1082

Provider Business Practice Location Address
First Line	:	4520 W US HIGHWAY 90
Second Line	:
City	:	LAKE CITY
State	:	FL
Zip	:	32055-8341
Country	:	US
Telephone Number	:	386-755-0601
Fax Number	:	386-755-0602

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/17/2017
Last Update Date	:	03/24/2026

Similar Medicare Providers

1487646030 — MARK EDMUND THOMPSON D.O.
Practice Location Address:

4520 W US HIGHWAY 90
LAKE CITY, FL
32055-8341

Practice Phone: 352-755-0601
Practice Fax: 352-755-0602

1710964093 — DR. LOUISE C WASZAK PHD, ARNP, FNP-BC
Practice Location Address:

4520 W US HIGHWAY 90
LAKE CITY, FL
32055-8341

Practice Phone: 386-719-3939
Practice Fax:

1235835216 — LAKE CITY CANCER CARE LLC
Practice Location Address:

4520 W US HIGHWAY 90
LAKE CITY, FL
32055-8341

Practice Phone: 352-755-0601
Practice Fax: 352-755-0602

1083957039 — BRIDGEPORT SENIOR LIVING LLC
Practice Location Address:

8341 LAKE CROWELL CIR
ORLANDO, FL
32836-5931

Practice Phone: 407-730-2582
Practice Fax: 407-730-2642

1699372821 — PATRICIA BENTZ PHARM.D
Practice Location Address:

12803 DOVE LAKE DR
LOUISVILLE, KY
40299-8341

Practice Phone: 502-542-1611
Practice Fax:

1578244828 — TIFFANY N CAVALIER FNP
Practice Location Address:

8907 REDWOOD LAKE BLVD
ZACHARY, LA
70791-8341

Practice Phone: 225-620-3390
Practice Fax:

Directions to “ DR. JOHN J BERGIN MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.