Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary F. Bergum, MD, PLLC

Organization Family Medicine Physician · NPI 1063625150

Mary F. Bergum, MD, PLLC is a Family Medicine Physician in Spokane, Washington. Licensed in Washington. Registered with an NPI since 2007.

Licensed in
WA
In the registry since
2007
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3154 E 29th Ave
Spokane, WA 99223-4852
Phone: (509) 448-4870
Fax: (800) 976-4305
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD00042807 (WA)

Record details

NPI number1063625150
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Bergum — Owner · (509) 448-4870
Other names Mary F. Bergum, Md
NPI enumeratedMay 7, 2007
Last updated in NPPESMarch 19, 2020
Certification dateMarch 19, 2020
Mailing address3154 E 29th Ave, Spokane, WA 99223-4852

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