James Douglas Bergum, CCP
NPI 1073148235ActiveIndividual· Perfusionist· Santa Cruz, CA
Perfusionist (CCP) in Santa Cruz, California, with an NPI issued in March 2020.
Overview
| NPI | 1073148235 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CCP |
| Sole proprietor | Yes |
| NPI issued | Mar 9, 2020 |
| Last updated in NPPES | Mar 9, 2020 |
| Certified by provider | Mar 9, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Perfusionist Primary | 242T00000X | 049011 | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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