Jason B Bergman in Independence - Family Medicine

Jason B Bergman - NPI 1326056722

Jason B Bergman is a Family Medicine in Independence, Missouri. Jason B Bergman practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jason B Bergman is 1326056722. The last update date is 2022-05-18.

Jason B Bergman's current location address is 19550 E 39th St S Ste 335, Independence, Missouri. You can contact this provider via phone number 8163500005 and fax number 8163500015. The mailing address for Jason B Bergman is 19550 E 39th St S Ste 335, Independence, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Jason B Bergman
Address 19550 E 39th St S Ste 335, Independence, Missouri
Phone Number 8163500005
Fax Number 8163500015
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1326056722
Provider Enumeration Date 2006-08-03
Last Updated Date 2022-05-18

Provider Mailing Address Detail

Address 19550 E 39th St S Ste 335
City Independence
State Missouri (MO)
Post Code 640572311
Phone Number 8163500005
Fax Number 8163500015

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 2004016407
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
200418930A KS --
201468105 MO --
P00373752 MO RAILROAD

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FAQs about Jason B Bergman

What is the unique 10-digit identifier code assigned to Jason B Bergman by the Centers for Medicare & Medicaid Services?

The Jason B Bergman has been issued the NPI (National Provider Identifier) 1326056722 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Jason B Bergman is located?

The Jason B Bergman is situated at the following address: 19550 E 39Th St S Ste 335, Independence, MO, 640572311.

What is Jason B Bergman's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Jason B Bergman's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.

On what date was the 1326056722 assigned to Jason B Bergman?

The Jason B Bergman was issued its 1326056722 on 2006-08-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Jason B Bergman most recently updated or refreshed?

The details pertaining to the Jason B Bergman, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-05-18.

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