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

Kevin Patrick Bergman, DPT

Individual provider Physical Therapist · NPI 1184009771

Kevin Patrick Bergman, DPT is a Physical Therapist in Private Practice in Manteca, California. Qualified in 2018, 8 years ago. Practices with Golden Bear Physical Therapy Sports Injury Center Inc, a 83-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2015
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1019 S Main St
Manteca, CA 95337-5703
Phone: (209) 624-1002
Fax: (209) 222-6182
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 295892 (CA)

Record details

NPI number1184009771
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJuly 23, 2015
Last updated in NPPESMarch 18, 2020
Certification dateMarch 18, 2020
Mailing address1019 S Main St, Manteca, CA 95337-5703

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Golden Bear Physical Therapy Sports Injury Center Inc — 83 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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