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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200418930A | KS | -- | |
| 201468105 | MO | -- | |
| P00373752 | MO | RAILROAD |
Post Comment/ Review Below
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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