Paul Michael Bergley in Isanti - Internist
Paul Michael Bergley - NPI 1568673101
Paul Michael Bergley is a Internist in Isanti, Minnesota. Paul Michael Bergley practices all healthcare services and medical treatments related to Internist. The NPI Number for Paul Michael Bergley is 1568673101. The last update date is 2013-11-08.
Paul Michael Bergley's current location address is 711 6th Ave Ne, Isanti, Minnesota. You can contact this provider via phone number 7634445567 and fax number 7634444991. The mailing address for Paul Michael Bergley is 711 6th Ave Ne, Isanti, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul Michael Bergley |
|---|---|
| Address | 711 6th Ave Ne, Isanti, Minnesota |
| Phone Number | 7634445567 |
| Fax Number | 7634444991 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1568673101 |
|---|---|
| Provider Enumeration Date | 2007-05-25 |
| Last Updated Date | 2013-11-08 |
Provider Mailing Address Detail
| Address | 711 6th Ave Ne |
|---|---|
| City | Isanti |
| State | Minnesota (MN) |
| Post Code | 55040 |
| Phone Number | 7634445567 |
| Fax Number | 7634444991 |
Provider's Primary Taxonomy Detail
| Speciality | Internist |
|---|---|
| Taxonomy | 111Ni0900X |
| Licence No | 2421 |
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Definition: The chiropractic internist may serve as a primary care physician or may see patients referred from other providers for evaluation and co-management. Evaluation is focused on the early detection of functional, nutritional, and pathological disorders. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 990528600 | MN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Paul Michael Bergley by the Centers for Medicare & Medicaid Services?
The Paul Michael Bergley has been issued the NPI (National Provider Identifier) 1568673101, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Paul Michael Bergley is located?
The Paul Michael Bergley is situated at the following address: 711 6Th Ave Ne, Isanti, MN, 55040.
What is Paul Michael Bergley's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Paul Michael Bergley is Internist, and the corresponding taxonomy classification code for this specialized field is 111Ni0900X.
On what date did the Paul Michael Bergley receive the assignment of its 1568673101 from the Centers for Medicare & Medicaid Services?
The Paul Michael Bergley was issued its 1568673101 by the Centers for Medicare & Medicaid Services on 2007-05-25.
As of what date were the Paul Michael Bergley's details last updated?
The information pertaining to the Paul Michael Bergley, including its address, specialty, and other details, was most recently updated on 2013-11-08.
NPI Number: 1952305922
Address: 1111 Professional Blvd, Dalton, GA