Provider Demographics
NPI:1801229372
Name:BERGMAN, RACHAEL SAPORITO (MD)
Entity Type:Individual
Prefix:DR
First Name:RACHAEL
Middle Name:SAPORITO
Last Name:BERGMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:RACHAEL
Other - Middle Name:CAMILLE
Other - Last Name:SAPORITO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:740 COOL SPRINGS BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-6450
Mailing Address - Country:US
Mailing Address - Phone:615-771-1881
Mailing Address - Fax:
Practice Address - Street 1:740 COOL SPRINGS BLVD STE 200
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-6450
Practice Address - Country:US
Practice Address - Phone:615-771-1881
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-19
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN62705207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology