Richard T Bergstrom in Redding - Otolaryngology
Richard T Bergstrom - NPI 1679557367
Richard T Bergstrom is a Otolaryngology in Redding, California. Richard T Bergstrom practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Richard T Bergstrom is 1679557367. The last update date is 2012-09-05.
Richard T Bergstrom's current location address is 3305 Placer St, Redding, California. You can contact this provider via phone number 5302433687 and fax number 5302433383. The mailing address for Richard T Bergstrom is 3305 Placer St, Redding, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard T Bergstrom |
|---|---|
| Address | 3305 Placer St, Redding, California |
| Phone Number | 5302433687 |
| Fax Number | 5302433383 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1679557367 |
|---|---|
| Provider Enumeration Date | 2005-12-06 |
| Last Updated Date | 2012-09-05 |
Provider Mailing Address Detail
| Address | 3305 Placer St |
|---|---|
| City | Redding |
| State | California (CA) |
| Post Code | 960012364 |
| Phone Number | 5302433687 |
| Fax Number | 5302433383 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
| Licence No | A80467 |
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Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A804670 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Richard T Bergstrom by the Centers for Medicare & Medicaid Services?
The Richard T Bergstrom has been assigned the NPI (National Provider Identifier) 1679557367 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Richard T Bergstrom located?
The Richard T Bergstrom is located at 3305 Placer St, Redding, CA 960012364.
What is Richard T Bergstrom's specialized field of practice, and what is the corresponding taxonomy classification code?
The Richard T Bergstrom's area of specialization is Otolaryngology, and the corresponding taxonomy code that categorizes this field of practice is 207Y00000X.
On what date did Richard T Bergstrom receive its 1679557367 assignment from the Centers for Medicare & Medicaid Services?
The Richard T Bergstrom was assigned its 1679557367 on 2005-12-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Richard T Bergstrom most recently updated or revised?
The details related to Richard T Bergstrom, including its address, specialty, and other relevant information, were last updated or revised on 2012-09-05.