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Lori Ann Bergman , RN

Physician β€’ Micanopy, FL

Deactivated NPI 1215118310 Deactivated in NPPES Female Practitioner
Practice location in NPPES

20950nw65thave
Micanopy, FL 32667

Phone: 3525910522

Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of February 26, 2026; the reason is not published. The records below are historical. They do not show whether Lori Bergman currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date November 16, 2007
NPI Deactivation Date February 26, 2026
NPI Active Period 2007 – 2026

Practice Location & Contact Primary Location

Practice Address

20950nw65thave

Micanopy, FL 32667

Telephone 3525910522
Fax 3525912379

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Micanopy and Florida

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

General Acute Care Hospital Primary Specialty

NUCC Taxonomy Code: 282N00000X

License # reported to NPPES FL RN1994712

An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
⚠️
NPI Profile Deactivated February 26, 2026

NPPES lists this NPI as deactivated as of February 26, 2026; the reason is not published.

βœ…
NPI Profile Active November 16, 2007

NPI status registered as active in NPPES database

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Practice Location (Initial Record) November 16, 2007

Registered at 20950NW65THAVE, MICANOPY, FL 32667 (Tel: 3525910522)

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Business Mailing Address (Initial Record) November 16, 2007

Registered at PO BOX 515, MC INTOSH, FL 326640515 (Tel: 3525910522)

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Provider Name / Credentials (Initial Record) November 16, 2007

Recorded as LORI BERGMAN, RN

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 16, 2007

General Acute Care Hospital (license number reported to NPPES: FL RN1994712)

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Initial NPI Registration & Enumeration November 16, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1215118310
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 16, 2007
Last Update: November 16, 2007
Deactivation Date: February 26, 2026

Mailing Address

Po Box 515

Mc Intosh, FL 326640515

Phone: 3525910522

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.