Barry Louis Bergman in Bloomington - General Practice
Barry Louis Bergman - NPI 1760500185
Barry Louis Bergman is a General Practice in Bloomington, Illinois. Barry Louis Bergman practices all healthcare services and medical treatments related to General Practice. The NPI Number for Barry Louis Bergman is 1760500185. The last update date is 2007-07-08.
Barry Louis Bergman's current location address is 2306 Stern Drive, Bloomington, Illinois. You can contact this provider via phone number 3096635355 and fax number 3096635357. The mailing address for Barry Louis Bergman is 2306 Stern Drive, Bloomington, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Barry Louis Bergman |
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Address | 2306 Stern Drive, Bloomington, Illinois |
Phone Number | 3096635355 |
Fax Number | 3096635357 |
Sole Proprietor | N |
Credentials | DDS |
NPI Number Detail
NPI Number | 1760500185 |
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Provider Enumeration Date | 2007-03-26 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 2306 Stern Drive |
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City | Bloomington |
State | Illinois (IL) |
Post Code | 617044406 |
Phone Number | 3096635355 |
Fax Number | 3096635357 |
Provider's Primary Taxonomy Detail
Speciality | General Practice |
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Taxonomy | 1223G0001X |
Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique 10-digit identifier code assigned to Barry Louis Bergman by the Centers for Medicare & Medicaid Services?
The Barry Louis Bergman has been issued the NPI (National Provider Identifier) 1760500185 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Barry Louis Bergman?
The Barry Louis Bergman is physically situated at 2306 Stern Drive, in the city of Bloomington, state of IL, with the postal code 617044406.
What is the Barry Louis Bergman's specialty and taxonomy code?
The Barry Louis Bergman's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date did the Barry Louis Bergman receive its 1760500185 assignment from the Centers for Medicare & Medicaid Services?
The Barry Louis Bergman was assigned its 1760500185 by the Centers for Medicare & Medicaid Services on 2007-03-26.
As of what date were the details related to Barry Louis Bergman most recently updated or revised?
The information pertaining to Barry Louis Bergman, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.