IndividualActive
Brandon Bergman
NPI 1861176513 · Community Health Worker · Pawtucket, RI
Provider details
- NPI number
- 1861176513
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
710 Armistice Blvd
Pawtucket, RI 02861-2749
Phone: (857) 204-3200
Approximate (ZIP-level) locationGet directions
Mailing address
710 Armistice Blvd
Pawtucket, RI 02861-2749
Registry dates
- Enumerated
- 2023-06-13
- Last updated
- 2025-09-05
- Certified
- 2025-09-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.