Joseph Edward Bergstrom in Davenport - Family Medicine
Joseph Edward Bergstrom - NPI 1831154822
Joseph Edward Bergstrom is a Family Medicine in Davenport, Iowa. Joseph Edward Bergstrom practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Joseph Edward Bergstrom is 1831154822. The last update date is 2021-10-03.
Joseph Edward Bergstrom's current location address is 3200 W Kimberly Rd, Davenport, Iowa. You can contact this provider via phone number 5634211000. The mailing address for Joseph Edward Bergstrom is 3200 W Kimberly Rd, Davenport, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joseph Edward Bergstrom |
|---|---|
| Address | 3200 W Kimberly Rd, Davenport, Iowa |
| Phone Number | 5634211000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1831154822 |
|---|---|
| Provider Enumeration Date | 2006-04-20 |
| Last Updated Date | 2021-10-03 |
Provider Mailing Address Detail
| Address | 3200 W Kimberly Rd |
|---|---|
| City | Davenport |
| State | Iowa (IA) |
| Post Code | 528063059 |
| Phone Number | 5634211000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 3192 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00363057 | IA | RR MEDICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Joseph Edward Bergstrom by the Centers for Medicare & Medicaid Services (CMS)?
The Joseph Edward Bergstrom has been assigned the NPI (National Provider Identifier) 1831154822. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Joseph Edward Bergstrom is physically located?
The Joseph Edward Bergstrom is physically situated at the following address: 3200 W Kimberly Rd, Davenport, IA, 528063059.
What is the Joseph Edward Bergstrom's specialty and taxonomy code?
The Joseph Edward Bergstrom's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1831154822 to Joseph Edward Bergstrom?
The Joseph Edward Bergstrom received its 1831154822 assignment from the Centers for Medicare & Medicaid Services on 2006-04-20.
As of what date were the Joseph Edward Bergstrom's details last updated?
The information pertaining to the Joseph Edward Bergstrom, including its address, specialty, and other details, was most recently updated on 2021-10-03.
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