JORDAN LEIGH BERGSTROM (AU.D.) – Audiologist, NPI 1750941779

JORDAN LEIGH BERGSTROM (AU.D.) is a healthcare provider. based in South bend, Indiana. specializing in Audiologist. They hold the professional credentials AU.D.. They hold a License No. 23002688A (IN). The NPI Number for JORDAN LEIGH BERGSTROM (AU.D.) is 1750941779

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
JORDAN LEIGH BERGSTROM (AU.D.)
NPI
1750941779
Phone
(574) 647-1610
Address
710 N NILES AVE
Enumeration Date
20 June 2019
Last Update Date
30 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5742939448
Graduation Year
2019 (7 years ago)
PAC ID
7315272390
Group Practice PAC ID
1254243306
Professional Enrollment ID
I20190712001817

Contacts

Secure Messaging
jbergstrom@mybeacon.cernerdirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness85
Years active:6State licenses:1Other namesUpdated within 12 months

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Provider Addresses for JORDAN LEIGH BERGSTROM (AU.D.)

  • 710, North Niles Avenue, South Bend, Saint Joseph County, Indiana, 46617, United States

    SOUTH BEND, IN 466171924

    Phone: (574) 647-1610

    Fax: (574) 237-6069

    Type: Mailing

  • Beacon Medical Group Specialists Fulton Street, 1753, Fulton Street, Elkhart, Elkhart County, Indiana, 46514, United States

    ELKHART, IN 465141927

    Phone: (574) 293-9448

    Fax: (574) 293-9480

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92557Comprehensive hearing and speech recognition test9391$0
92567Test to assess middle ear function5250$0
92552Test for hearing various pitches using earphone1111$0
92556Test for ability to detect and repeat spoken words with speech recognition1111$0
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Insurance plans in this area (ZIP 46617)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1254243306View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Interventional CardiologyIN
-IN
Vascular SurgeryIL
Cardiovascular Disease (Cardiology), Interventional CardiologyIN
Qualified AudiologistIN
Nurse PractitionerIN
-IN
Nurse PractitionerIN
-IN
General SurgeryIN

Reviews

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Frequently asked questions

Does JORDAN LEIGH BERGSTROM (AU.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JORDAN LEIGH BERGSTROM (AU.D.) uses 1750941779.
Can I rely on JORDAN LEIGH BERGSTROM (AU.D.) being an active provider?
As of the registry snapshot, JORDAN LEIGH BERGSTROM (AU.D.) is marked active.
What is JORDAN LEIGH BERGSTROM (AU.D.)'s specialty?
The listing groups JORDAN LEIGH BERGSTROM (AU.D.) with Audiologist. Clinical services aligned with this taxonomy classification.
Where should I expect JORDAN LEIGH BERGSTROM (AU.D.) on a map?
Expect South Bend, Indiana as a primary anchor for JORDAN LEIGH BERGSTROM (AU.D.) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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