Gregory Alan Bergman in Saint Marys - Family Medicine

Gregory Alan Bergman - NPI 1912902784

Gregory Alan Bergman is a Family Medicine in Saint Marys, Ohio. Gregory Alan Bergman practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Gregory Alan Bergman is 1912902784. The last update date is 2011-02-03.

Gregory Alan Bergman's current location address is 1002 S Knoxville Ave, Saint Marys, Ohio. You can contact this provider via phone number 4193943387 and fax number 4196289501. The mailing address for Gregory Alan Bergman is 1002 S Knoxville Ave, Saint Marys, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Gregory Alan Bergman
Address 1002 S Knoxville Ave, Saint Marys, Ohio
Phone Number 4193943387
Fax Number 4196289501
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1912902784
Provider Enumeration Date 2005-06-16
Last Updated Date 2011-02-03

Provider Mailing Address Detail

Address 1002 S Knoxville Ave
City Saint Marys
State Ohio (OH)
Post Code 4588526070
Phone Number 4193943387
Fax Number 4196289501

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 47703
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
537502 OH --
1104024546 OH ORGANIZATIONAL NPI
2268237 OH MEDICAID LEGACY
9934723 OH MEDICARE PTAN

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FAQs about Gregory Alan Bergman

What is the Gregory Alan Bergman's unique identification number?

The Gregory Alan Bergman has been assigned the NPI (National Provider Identifier) Number 1912902784 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Gregory Alan Bergman is physically located?

The Gregory Alan Bergman is physically situated at the following address: 1002 S Knoxville Ave, Saint Marys, OH, 4588526070.

What is Gregory Alan Bergman's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Gregory Alan Bergman is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.

On what date did Gregory Alan Bergman receive its 1912902784 assignment from the Centers for Medicare & Medicaid Services?

The Gregory Alan Bergman was assigned its 1912902784 on 2005-06-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the Gregory Alan Bergman's information last updated?

The Gregory Alan Bergman's information was last updated on 2011-02-03.

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