MEDICARE: JANE BERGMANN

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	374J00000X	Doula

General Provider Information

NPI Number	:	1366321085
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANE BERGMANN

Provider Business Mailing Address
First Line	:	4339 MANHATTAN E
Second Line	:
City	:	TRAVERSE CITY
State	:	MI
Zip	:	49685-9620
Country	:	US
Telephone Number	:	231-510-4918
Fax Number	:

Provider Business Practice Location Address
First Line	:	4339 MANHATTAN E
Second Line	:
City	:	TRAVERSE CITY
State	:	MI
Zip	:	49685-9620
Country	:	US
Telephone Number	:	231-510-4918
Fax Number	:

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

Provider Enumeration Date	:	08/27/2025
Last Update Date	:	08/27/2025

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Directions to “ JANE BERGMANN ” Practice Location

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