Kenneth Robert Bergman in Centreville - Allergy
Kenneth Robert Bergman - NPI 1013912252
Kenneth Robert Bergman is a Allergy in Centreville, Virginia. Kenneth Robert Bergman practices all healthcare services and medical treatments related to Allergy. The NPI Number for Kenneth Robert Bergman is 1013912252. The last update date is 2007-07-08.
Kenneth Robert Bergman's current location address is 13890 Braddock Rd, Centreville, Virginia. You can contact this provider via phone number 7032632333 and fax number 7032630361. The mailing address for Kenneth Robert Bergman is 13890 Braddock Rd, Centreville, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Robert Bergman |
|---|---|
| Address | 13890 Braddock Rd, Centreville, Virginia |
| Phone Number | 7032632333 |
| Fax Number | 7032630361 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1013912252 |
|---|---|
| Provider Enumeration Date | 2005-06-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 13890 Braddock Rd |
|---|---|
| City | Centreville |
| State | Virginia (VA) |
| Post Code | 2012124370 |
| Phone Number | 7032632333 |
| Fax Number | 7032630361 |
Provider's Primary Taxonomy Detail
| Speciality | Allergy |
|---|---|
| Taxonomy | 207Ka0200X |
| Licence No | 101025702 |
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Definition: A physician who specializes in the diagnosis, treatment, and management of allergies. |
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Post Comment/ Review Below
What is the unique identifier code issued to Kenneth Robert Bergman by the Centers for Medicare & Medicaid Services (CMS)?
The Kenneth Robert Bergman has been assigned the NPI (National Provider Identifier) 1013912252. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Kenneth Robert Bergman's facilities are situated?
The facilities of Kenneth Robert Bergman are physically located at the following address: 13890 Braddock Rd, Centreville, VA, 2012124370.
What is the area of specialization for Kenneth Robert Bergman, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kenneth Robert Bergman is Allergy, and the corresponding taxonomy code that categorizes this area of expertise is 207Ka0200X.
On what date did Kenneth Robert Bergman receive its 1013912252 assignment from the Centers for Medicare & Medicaid Services?
The Kenneth Robert Bergman was assigned its 1013912252 on 2005-06-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Kenneth Robert Bergman most recently updated?
The details pertaining to the Kenneth Robert Bergman, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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