Mary F. Bergum is a Family Medicine in Spokane, Washington. Mary F. Bergum practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Mary F. Bergum is 1710053665. The last update date is 2020-03-19.
Mary F. Bergum's current location address is 3154 E 29th Ave, Spokane, Washington. You can contact this provider via phone number 5094484870 and fax number 8882868401. The mailing address for Mary F. Bergum is 3154 E 29th Ave, Spokane, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary F. Bergum |
|---|---|
| Address | 3154 E 29th Ave, Spokane, Washington |
| Phone Number | 5094484870 |
| Fax Number | 8882868401 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1710053665 |
|---|---|
| Provider Enumeration Date | 2006-11-24 |
| Last Updated Date | 2020-03-19 |
Provider Mailing Address Detail
| Address | 3154 E 29th Ave |
|---|---|
| City | Spokane |
| State | Washington (WA) |
| Post Code | 992234852 |
| Phone Number | 5094484870 |
| Fax Number | 8882868401 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | MD00042807 |
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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 |
|---|---|---|---|
| G8865268 | WA | PTAN |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mary F. Bergum by the Centers for Medicare & Medicaid Services?
The Mary F. Bergum has been issued the NPI (National Provider Identifier) 1710053665, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Mary F. Bergum is located?
The Mary F. Bergum is situated at the following address: 3154 E 29Th Ave, Spokane, WA, 992234852.
What is Mary F. Bergum's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mary F. Bergum is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1710053665 to Mary F. Bergum?
The Mary F. Bergum received its 1710053665 assignment from the Centers for Medicare & Medicaid Services on 2006-11-24.
When was the information related to Mary F. Bergum most recently updated or refreshed?
The details pertaining to the Mary F. Bergum, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-03-19.