Brent D Bergen in Springfield - Pulmonary Disease
Brent D Bergen - NPI 1629070693
Brent D Bergen is a Pulmonary Disease in Springfield, Missouri. Brent D Bergen practices all healthcare services and medical treatments related to Pulmonary Disease. The NPI Number for Brent D Bergen is 1629070693. The last update date is 2018-12-27.
Brent D Bergen's current location address is Po Box 9007, Springfield, Missouri. You can contact this provider via phone number 4178753462. The mailing address for Brent D Bergen is Po Box 9007, Springfield, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brent D Bergen |
|---|---|
| Address | Po Box 9007, Springfield, Missouri |
| Phone Number | 4178753462 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1629070693 |
|---|---|
| Provider Enumeration Date | 2005-08-10 |
| Last Updated Date | 2018-12-27 |
Provider Mailing Address Detail
| Address | Po Box 9007 |
|---|---|
| City | Springfield |
| State | Missouri (MO) |
| Post Code | 658089007 |
| Phone Number | 4178753462 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pulmonary Disease |
|---|---|
| Taxonomy | 207Rp1001X |
| Licence No | 2007001545 |
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Definition: An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 204593909 | MO | -- | |
| 1069441 | KY | PASSPORT HEALTH | |
| 48062 | KY | ANTHEM BCBS | |
| 290009315 | RR MEDICARE | ||
| 200096100A | IN | -- | |
| 64319783 | KY | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Brent D Bergen by the Centers for Medicare & Medicaid Services?
The Brent D Bergen has been assigned the NPI (National Provider Identifier) 1629070693. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Brent D Bergen?
The Brent D Bergen is physically situated at Po Box 9007, in the city of Springfield, state of MO, with the postal code 658089007.
What is the Brent D Bergen's specialty and taxonomy code?
The Brent D Bergen's specialty is Pulmonary Disease, and the corresponding taxonomy code is 207Rp1001X.
When was the Brent D Bergen's 1629070693 issued?
The Brent D Bergen's 1629070693 was issued on 2005-08-10.
When was the information pertaining to Brent D Bergen most recently updated or revised?
The details related to Brent D Bergen, including its address, specialty, and other relevant information, were last updated or revised on 2018-12-27.