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 provides Family Medicine Physician services 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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